Individual
JOHN R MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1421 S POTOMAC ST STE 330, AURORA, CO 80012-4512
(303) 953-2920
(303) 997-5225
Mailing address
1421 S POTOMAC ST STE 330, AURORA, CO 80012-4512
(303) 953-2920
(303) 997-5225
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002778
CO
363A00000X
Physician Assistant
PA05601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y3865
BCBS
TX
Enumeration date
02/27/2008
Last updated
10/11/2022
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