Provider Demographics
NPI:1275693608
Name:MOORE, MICHAEL LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEE
Last Name:MOORE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:210 UNIVERSITY BLVD
Mailing Address - Street 2:500
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4616
Mailing Address - Country:US
Mailing Address - Phone:303-321-2255
Mailing Address - Fax:303-321-0856
Practice Address - Street 1:210 UNIVERSITY BLVD
Practice Address - Street 2:500
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4616
Practice Address - Country:US
Practice Address - Phone:303-321-2255
Practice Address - Fax:303-321-0856
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CO27296207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology