Individual
ELIZABETH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM,RM
Contact information
Practice address
3079 11TH ST, BOULDER, CO 80304-2525
(303) 444-5274
Mailing address
3079 11TH ST, BOULDER, CO 80304-2525
(303) 444-5274
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0043
CO
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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