| Mark S Moore, DO | |
|
1008 Minnequa Ave, Pueblo, CO 81004-3733 | |
| (719) 557-4000 | |
| (970) 342-2093 |
| Full Name | Mark S Moore |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1008 Minnequa Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457465429 | NPI | - | NPPES |
| 100180650B | Other | OK CAID | |
| 100343220A | Other | KS CAID | |
| 83787844 | Medicaid | CO | |
| 451258 | Other | HLTLINK | |
| 115634 | Other | MO BLUE | |
| 112240 | Other | MO | MEDICAL LICENSE |
| 248699902 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 112240 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Moore, DO Po Box 7693, Loveland, CO 80537-0693 Ph: (970) 663-2742 | Mark S Moore, DO 1008 Minnequa Ave, Pueblo, CO 81004-3733 Ph: (719) 557-4000 |
Dr. Michael J Mccollum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-542-7891 | |
Krynn Louis Stegelmeier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Pueblo, CO 81003 Phone: 719-542-2167 | |
Geoffrey Eric Johnson, MD Radiology Medicare: Medicare Enrolled Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-557-5460 | |
Lisa T Cramer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1619 N Greenwood St, Suite 103, Pueblo, CO 81003 Phone: 719-542-2167 Fax: 719-542-0320 | |
William J Bufkin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 124 W Pitkin Ave, Pueblo, CO 81004 Phone: 719-584-7410 Fax: 719-542-7019 | |
Dr. Mark Fredric Abbott, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St Ste 103, Pueblo, CO 81003 Phone: 719-542-2167 | |
Gordon F Gibbs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 115 E Riverwalk, Unit 200, Pueblo, CO 81003 Phone: 719-542-7891 |