Basic Information
| Provider Information | |||||||||
| NPI: | 1659332997 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOORE | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9950 W 80TH AVE STE 24 | ||||||||
| Address2: | |||||||||
| City: | ARVADA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800053914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032800900 | ||||||||
| FaxNumber: | 3032803858 | ||||||||
| Practice Location | |||||||||
| Address1: | 9950 W 80TH AVE STE 24 | ||||||||
| Address2: | |||||||||
| City: | ARVADA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800053914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032800900 | ||||||||
| FaxNumber: | 3032803858 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2006 | ||||||||
| LastUpdateDate: | 11/07/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | DR.0069441 | CO | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.