Individual
ROBERT J MOFFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39340
CO
208M00000X
Hospitalist Physician
Primary
39340
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66575770
—
CO
Enumeration date
02/02/2007
Last updated
03/19/2009
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