Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | DR.0059124 | CO |
NPI | 1144519935 |
---|---|
Provider Name | Hunter Burroughs Moore |
First Address | Denver, CO 80206-3839 |
Second Address | Aurora, CO 80045-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2011 |
Last Update Date | 22/09/2021 |