Mark Christopher Moore, CAA Valid NPI

Individual provider · Anesthesiologist Assistant · Greenwood Village, CO

NPI

1114462017

Type

Individual (Type 1)

Primary specialty

Anesthesiologist Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367H00000X

License number

ANT.0000074 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2016-12-30

Last updated

2016-12-30