Individual
JOHN T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1960 OGDEN ST, SUITE 530, DENVER, CO 80218-1022
(303) 318-2600
(303) 318-2604
Mailing address
DEPT 557, DENVER, CO 80291-0001
(303) 467-4162
(303) 318-2488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25670
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256700
—
CO
Enumeration date
12/19/2006
Last updated
08/03/2011
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