Individual
MRS. ANDREA PATT MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7280 LAGAE RD STE J, CASTLE PINES, CO 80108-9454
(303) 814-0505
(303) 814-6491
Mailing address
1805 SHEA CENTER DR STE 450, HIGHLANDS RANCH, CO 80129-2255
(303) 357-2559
(303) 814-0505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2104
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000157407
—
CO
Enumeration date
11/29/2006
Last updated
09/30/2024
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