Individual
MR. DANIEL CASSADY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
10TH MEDICAL GROUP, 4102 PINION DRIVE, USAF ACADEMY, CO 80840
(719) 333-5245
Mailing address
10560 SILVER ORE PT APT 202, COLORADO SPRINGS, CO 80908-5331
(336) 465-2114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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