Individual
THOMAS P MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 ELK RUN DR STE 229, BASALT, CO 81621-9244
(970) 927-3344
(970) 927-9555
Mailing address
100 ELK RUN DR STE 229, BASALT, CO 81621-9244
(970) 927-3344
(970) 927-9555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24599
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01245992
—
CO
Enumeration date
08/21/2006
Last updated
02/07/2024
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