Individual
DR. LARRY ALAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3205 N ACADEMY BLVD, SUITE 160, COLORADO SPRINGS, CO 80917-5101
(719) 776-3216
(719) 776-3187
Mailing address
290 CRYSTAL PARK ROAD, MANITOA SPRINGS, CO 80829
(719) 651-6070
(719) 686-8863
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21039
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42677076
—
CO
Enumeration date
05/08/2006
Last updated
08/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us