Jonathan P Moore

NPI #1215424338 in Colorado Springs, Colorado

Provider Information

NPI Number: 1215424338
Entity Type: Individual
Name: Jonathan P Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Enumeration Date: Apr 14, 2018
Last Updated: Apr 14, 2018

Practice Location

Address: 4105 BRIARGATE PKWY STE 110
City: Colorado Springs
State: Colorado
ZIP Code: 80920-3482
Phone: (719) 282-0369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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