Dr. Nathaniel J Moore
Family Doctor Family Doctor - Addiction Medicine
895 S Logan St
Denver
, Colorado 80209
Dr. Nathaniel J Moore
Family Doctor Family Doctor - Addiction Medicine
895 S Logan St
Denver
, Colorado 80209
(720) 390-5188
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Nathaniel J Moore
- 15101 E Iliff Ave Ste 140
- Aurora, CO
- Zip : 80014-4548
- Fax : (720) 390-5188
- Phone : (720) 878-7055
Second Address
- Dr. Nathaniel J Moore
- 895 S Logan St
- Denver, CO
- Zip : 80209
- Fax : (303) 733-0868
- Phone : (303) 733-3764
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 35543 | CO |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 35543 | CO |
National Provider Identifier
| NPI | 1275570301 |
|---|---|
| Provider Name | Dr. Nathaniel J Moore |
| First Address | Aurora, CO 80014-4548 |
| Second Address | Denver, CO 80209 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 22/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01355437 | (05) | CO |
| G35047 | (02) | CO |
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.