Individual
STEPHEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1721 E 19TH AVE STE 520, DENVER, CO 80218-1243
(303) 839-6741
Mailing address
1721 E 19TH AVE STE 520, DENVER, CO 80218-1243
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
65302
TN
2085R0202X
Diagnostic Radiology Physician
29924
MS
2085R0202X
Diagnostic Radiology Physician
Primary
65302
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
02/17/2025
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