Organization
REBECCA MOORE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MOORE MD (OWENER)
(307) 638-0300
Entity
Organization
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2302
(719) 285-2000
(307) 638-0394
Mailing address
PO BOX 2476, CHEYENNE, WY 82003-2476
(307) 638-0300
(307) 638-0394
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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