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Organization

HAROLD MOORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HAROLD RANDALL MOORE DPM (OWNER/PODIATRIST)
(970) 472-8700
Entity
Organization

Contact information

Practice address
1217 E ELIZABETH ST, SUITE #11, FORT COLLINS, CO 80524-4040
(970) 472-8700
(970) 224-5805
Mailing address
1217 E ELIZABETH ST, SUITE #11, FORT COLLINS, CO 80524-4040
(970) 472-8700
(970) 224-5805

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
339
CO

Other

Enumeration date
03/12/2008
Last updated
03/12/2008
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