Individual
DR. STEPHEN MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 WALNUT ST STE 207, BOULDER, CO 80302-5753
(720) 339-7920
(303) 442-1125
Mailing address
2501 WALNUT ST STE 207, BOULDER, CO 80302-5753
(720) 339-7920
(303) 442-1125
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32633
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01326339
—
CO
Enumeration date
09/21/2006
Last updated
07/08/2007
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