Individual
DAVID JOHN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., CMT
Contact information
Practice address
1210 LEHIGH ST, BOULDER, CO 80305-6352
(303) 917-3318
Mailing address
1210 LEHIGH ST, BOULDER, CO 80305-6352
(303) 917-3318
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DORA # 1749
CO
171100000X
Acupuncturist
DORA # 5298
CO
171100000X
Acupuncturist
NCCAOM # 150098
CO
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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