Individual
DR. HAROLD RANDALL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1001 E HARMONY RD UNIT A, #310, FORT COLLINS, CO 80525-8888
(970) 472-8700
Mailing address
1001 E HARMONY RD UNIT A, #310, FORT COLLINS, CO 80525-8888
(970) 472-8700
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
116
WY
213E00000X
Podiatrist
Primary
339
CO
213E00000X
Podiatrist
448
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116212800
—
WY
05
—
95885269
—
CO
Enumeration date
01/02/2006
Last updated
07/22/2010
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