NPI 1578007761

John James Moore

Practitioner Home Modifications Contractor Loveland, CO

Practice location

Address: 3830 Higgins St, Loveland, CO 80538-4960
Phone: (308) 464-0824

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X Licence MP00179558 (CO)

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Registry record

NPI: 1578007761
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2016
Record last updated: 7 Dec 2016

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.