Individual
DR. JOHN WILLIAM MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2643 PATTERSON RD STE 605, GRAND JUNCTION, CO 81506-1937
(970) 244-2482
(970) 255-1701
Mailing address
2643 PATTERSON RD STE 605, GRAND JUNCTION, CO 81506-1937
(970) 244-2482
(970) 255-1701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
DR.0062442
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
DR.0062442
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200422290A
—
IN
Enumeration date
06/04/2007
Last updated
06/07/2019
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