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Individual

DR. ANISA K MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Mailing address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42836
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021890
KAISER COMMERCIAL NUMBER
CO
05
21052751
CO
Enumeration date
07/05/2006
Last updated
10/18/2011
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