Individual
DYLAN RICHARD MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6615 DELMONICO DR, COLORADO SPRINGS, CO 80919-1809
(719) 364-9494
(719) 364-9761
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0066979
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
05/27/2020
Last updated
08/03/2023
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