Individual
COLLEEN F MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2240 E BUCHTELL BLVD, #3 NORTH, DENVER, CO 80208-0001
(303) 871-6842
(303) 871-4242
Mailing address
2240 E BUCHTELL BLVD, #3 NORTH, DENVER, CO 80208-0001
(303) 871-6842
(303) 871-4242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
917
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009409
KAISER-COMMERCIAL NUMBER
—
05
—
98101331
—
CO
Enumeration date
02/27/2007
Last updated
01/03/2012
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