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John C Moore MD PC

Pathology, Anatomic Pathology & Clinical Pathology in Englewood, CO. Organization (NPI-2).

NPI number1760639009
StatusActive
Last updated in NPPESDec 11, 2008

Details

NPI
1760639009
Entity type
Organization (NPI-2)
Legal business name
John C Moore MD PC
Organization subpart
No
Enumeration date
Aug 19, 2008
Last updated
Dec 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology24909COYes

Practice location

88 Inverness Cir E
K102
Englewood, CO 80112-5304

Phone 702-234-1895

Mailing address

88 Inverness Cir E
K102
Englewood, CO 80112-5304

Phone 702-234-1895

Authorized official

Raggio Colby
Ceo
7022341895

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