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Individual

THOMAS A MOORE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
743 HORIZON CT, SUITE 100, GRAND JUNCTION, CO 81506-8701
(970) 241-7600
(970) 263-4831
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 241-7600
(970) 263-4831

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20243
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1202431
CO
01
20243
CO BOARD MEDICAL
CO
Enumeration date
03/21/2006
Last updated
03/07/2023
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