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1457465429
MARK S MOORE
PUEBLO, CO
NPI
1457465429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MO 112240)
Enumeration Date
2006-08-18
Last Update Date
2020-11-05
Business Address
MARK S MOORE DO
1008 MINNEQUA AVE
PUEBLO, CO 81004-3733
Phone number: 719-557-4000
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Mailing Address
MARK S MOORE DO
PO BOX 7693
LOVELAND, CO 80537-0693
Phone number: 970-663-2742
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