person
Glen O Moore, PA-C
Medical Physician Assistant in Lakewood, Colorado
NPI 1922404623

Glen O Moore is a Medical Physician Assistant based in Denver, CO and is specialized in Medical. Glen O Moore practices in Lakewood, CO and has the professional credentials of PA-C. The NPI Number for Glen O Moore is 1922404623 and holds a License No. PA0004150 (Colorado).

The current practice location address for Glen O Moore is 8383 W Alameda Ave, Lakewood, CO and can be reached out via phone at 303-338-4545.

Location: 8383 W Alameda Ave, Lakewood, CO, 80247-1314
person
Provider Profile Details
NPI Number
1922404623
Provider Name
Glen O Moore
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
8383 W Alameda Ave, Lakewood, CO, 80247-1314
Phone Number
303-338-4545
Fax Number
Provider Enumeration Date
11/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8383 W Alameda Ave
City
State
Zip
80226-3007
Phone Number
303-338-4545
Fax Number
person
Provider Business Mailing Address Details
Address
8383 W Alameda Ave
City
State
Zip
80226-3007
Phone Number
303-338-4545
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA0004150 (Colorado)
Definition
Definition to come...
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