Individual
TIMOTHY GERALD MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2110 OSCEOLA ST, DENVER, CO 80212
(720) 440-4004
(720) 633-9094
Mailing address
PO BOX 140230, EDGEWATER, CO 80214
(720) 440-4004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36717
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012718
KAISER-COMMERCIAL NUMBER
—
05
—
27121232
—
CO
Enumeration date
02/27/2007
Last updated
05/12/2020
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