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NPI Code Detail

MEDICARE: JANET L MOORE MD

MEDICARE: JANET L MOORE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician44579CO

General Provider Information

NPI Number : 1417068958
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET L MOORE MD
Provider Business Mailing Address
First Line : PO BOX 1687
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81502-1687
Country : US
Telephone Number : 970-256-6322
Fax Number :
Provider Business Practice Location Address
First Line : 603 28 1/4 RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-6019
Country : US
Telephone Number : 970-263-2670
Fax Number : 970-263-2686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 02/27/2017

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Directions to “ JANET L MOORE MD” Practice Location

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