Individual
ILA CHEREE MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913
(719) 526-7653
(719) 526-7673
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913
(719) 526-7653
(719) 526-7673
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24942
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2008
Last updated
02/26/2025
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