Individual
DR. NATHANIEL J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
895 S LOGAN ST, DENVER, CO 80209
(303) 733-3764
(303) 733-0868
Mailing address
15101 E ILIFF AVE STE 140, AURORA, CO 80014-4548
(720) 878-7055
(720) 390-5188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35543
CO
207QA0401X
Addiction Medicine (Family Medicine) Physician
35543
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01355437
—
CO
Enumeration date
05/31/2006
Last updated
11/24/2025
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