Moore, Patrick Timothy

Moore, Patrick Timothy is an individual health care provider with primary practice located at 11600 W 2Nd Pl , Lakewood CO 80228-1527. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Moore, Patrick Timothy can be contacted via phone (720) 321-0000.

Contact Information

Primary practice address
11600 W 2Nd Pl Lakewood CO 80228-1527
Phone: (720) 321-0000
Fax: (720) 321-1621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25922 Colorado
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X DR.0025922 Colorado

Profile Details

NPI number 1649249830
LBN Legal business name Moore, Patrick Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649249830 NPPES
Colorado MEDICAID 01259225
Colorado Other P00262610

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