Individual
I. MARC MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DR.0031648
CO
207RP1001X
Pulmonary Disease Physician
31648
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30980313
—
CO
Enumeration date
07/24/2006
Last updated
11/16/2018
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