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Michael T Moore, PA
Surgical Physician Assistant in Aurora, Colorado
NPI 1750858916

Michael T Moore is a Surgical Physician Assistant based in Hartford, CO and is specialized in Surgical. Michael T Moore practices in Aurora, CO and has the professional credentials of PA. The NPI Number for Michael T Moore is 1750858916 and holds a License No. 004400 (Colorado).

The current practice location address for Michael T Moore is 12605 E 16Th Ave, Aurora, CO and can be reached out via phone at 303-724-2728.

Location: 12605 E 16Th Ave, Aurora, CO, 06102-5037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750858916
Provider Name
Michael T Moore
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
12605 E 16Th Ave, Aurora, CO, 06102-5037
Phone Number
303-724-2728
Fax Number
Provider Enumeration Date
10/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12605 E 16Th Ave
City
Aurora
State
Colorado
Zip
80045-2545
Phone Number
303-724-2728
Fax Number
person
Provider Business Mailing Address Details
Address
12605 E 16Th Ave
City
Aurora
State
Colorado
Zip
80045-2545
Phone Number
303-724-2728
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
004400 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
004400 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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