Individual
MR. JOSEPH PATRICK MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 NORTH NEVADA AVENUE, SUITE 5001, COLORADO SPRINGS, CO 80907-6865
(719) 636-1201
(719) 636-1326
Mailing address
2920 N CASCADE AVE, STE 301, COLORADO SPRINGS, CO 80907-6265
(719) 636-1201
(719) 636-1326
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
37170
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01371707
—
CO
01
—
607324
BCBS
CO
Enumeration date
09/11/2006
Last updated
10/19/2018
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