NPI 1215424338

Jonathan P Moore

Practitioner Orthotist Colorado Springs, CO

Practice location

Address: 4105 Briargate Pkwy STE 110, Colorado Springs, CO 80920-3482
Phone: (719) 282-0369

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1215424338
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Apr 2018
Record last updated: 14 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.