Individual
JAIME MEGAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, CHILDREN'S HOSPITAL COLORADO- DEPT OF NUTRITION, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0055059
CO
208000000X
Pediatrics Physician
DR.0055059
CO
2080B0002X
Pediatric Obesity Medicine Physician
Primary
DR.0055059
CO
Other
Enumeration date
04/12/2011
Last updated
11/05/2020
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