Individual
DR. TIMOTHY ALLEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2350 MEADOWS BLVD, CASTLE ROCK, CO 80109-8405
(720) 455-5000
Mailing address
6818 E LOOKOUT DR, PARKER, CO 80138-8709
(720) 318-7764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0165348
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0990803-CRNA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26870576
—
CO
Enumeration date
05/28/2013
Last updated
11/27/2023
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