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Individual

DR. REBECCA L MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1311A N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-8556
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-6666

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29536
CO
208M00000X
Hospitalist Physician
DR.0029536
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01295369
CO
Enumeration date
03/16/2006
Last updated
05/08/2024
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