Individual
DR. ANDREW ERLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 AMDS / CC, 559 VINCENT STREET, PETERSON AFB, CO 80914-1540
(719) 556-5585
(866) 867-7926
Mailing address
21 AMDS / CC, 559 VINCENT STREET, PETERSON AFB, CO 80914-1540
(719) 556-5585
(866) 867-7926
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
37286
CO
2083A0100X
Aerospace Medicine Physician
37286
CO
Other
Enumeration date
01/06/2006
Last updated
07/10/2010
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