Moothart, Richard W.

Moothart, Richard W. is an individual health care provider with primary practice located at 2222 N Nevada Ave Suite 4007, Colorado Springs CO 80907-6831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Moothart, Richard W. can be contacted via phone (719) 634-6671.

Contact Information

Primary practice address
2222 N Nevada Ave Suite 4007 Colorado Springs CO 80907-6831
Phone: (719) 634-6671
Fax: (719) 634-1448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16922 Colorado

Profile Details

NPI number 1336136357
LBN Legal business name Moothart, Richard W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Apr 9th, 2009 - about 17 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 1336136357 NPPES
Colorado MEDICAID 01169226

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