Individual
JANNA K. GELDERMAN-MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 673-1000
Mailing address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 673-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34007312
OH
207R00000X
Internal Medicine Physician
5101017103
MI
208M00000X
Hospitalist Physician
Primary
55567
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114955900
—
MI
05
—
2194110
—
OH
05
—
3810014817
—
WV
05
—
90800079
—
CO
Enumeration date
11/20/2006
Last updated
11/23/2016
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