Organization
MICHAEL C MOORE M.D. P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C MOORE MD (PRES)
(719) 495-2175
Entity
Organization
Contact information
Practice address
7055 JUNIPER DR, COLORADO SPRINGS, CO 80908-4013
(719) 495-2175
Mailing address
7055 JUNIPER DR, COLORADO SPRINGS, CO 80908-4013
(719) 495-2175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21782
CO
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
Update your record
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