Dr. Harold Randall Moore
Podiatrist
1001 E Harmony Rd Unit A #310
Fort Collins
, Colorado 80525-8888
Dr. Harold Randall Moore
Podiatrist
1001 E Harmony Rd Unit A #310
Fort Collins
, Colorado 80525-8888
(970) 472-8700
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Harold Randall Moore
- 1001 E Harmony Rd Unit A #310
- Fort Collins, CO
- Zip : 80525-8888
- Phone : (970) 472-8700
Second Address
- Dr. Harold Randall Moore
- 1001 E Harmony Rd Unit A #310
- Fort Collins, CO
- Zip : 80525-8888
- Phone : (970) 472-8700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 116 | WY |
| N | 222Z00000X | Podiatrist | 116 | WY |
| Y | 213E00000X | Podiatrist | 339 | CO |
| Y | 222Z00000X | Podiatrist | 339 | CO |
| N | 213E00000X | Podiatrist | 448 | MO |
| N | 222Z00000X | Podiatrist | 448 | MO |
National Provider Identifier
| NPI | 1023096989 |
|---|---|
| Provider Name | Dr. Harold Randall Moore |
| First Address | Fort Collins, CO 80525-8888 |
| Second Address | Fort Collins, CO 80525-8888 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2006 |
| Last Update Date | 22/07/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 116212800 | (05) | WY |
| 95885269 | (05) | CO |
| T42880 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.