Individual
ANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12631 E 17TH AVE, MAIL STOP B202, AURORA, CO 80045-2527
(303) 724-2972
(303) 724-1593
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0004707
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0004707
CO
Other
Enumeration date
11/29/2016
Last updated
10/22/2018
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