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NPI Code Detail

MEDICARE: DR. RANDAL JAMES MOYER DC

MEDICARE: DR. RANDAL JAMES MOYER DC
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
1111N00000XChiropractor6073CO
2111NN1001XNutrition Chiropractor6073CO
3111NS0005XSports Physician Chiropractor6073CO

General Provider Information

NPI Number : 1821297979
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDAL JAMES MOYER DC
Provider Business Mailing Address
First Line : 331 14TH ST
Second Line : SUITE 208
City : DENVER
State : CO
Zip : 80202-5040
Country : US
Telephone Number : 303-922-2977
Fax Number : 303-922-2044
Provider Business Practice Location Address
First Line : 50 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80219-2044
Country : US
Telephone Number : 303-922-2977
Fax Number : 303-922-2044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2007
Last Update Date : 07/23/2007

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Directions to “ DR. RANDAL JAMES MOYER DC” Practice Location

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