Moulton, Jeffrey S

Moulton, Jeffrey S 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. Moulton, Jeffrey S 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 28246 Colorado
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X DR.0028246 Colorado

Profile Details

NPI number 1164491361
LBN Legal business name Moulton, Jeffrey S
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 1164491361 NPPES
Colorado MEDICAID 01282466

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