Corey D. Mood PA-C

NPI 1811090129 - Physician Assistant - 363A00000X

NPI Details
NPI 1811090129
Gender Male
Enumeration Date 09/06/2006
Last Updated 06/24/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
701 E HAMPDEN AVE STE 515
ENGLEWOOD CO, 80113-3880, US
Phone (303) 209-2503
Fax (303) 761-0803
Business Location
4900 S MONACO ST STE 210
DENVER CO, 80237-3487, US
Phone (303) 209-2503
Fax (303) 233-8755
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-002802
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According to our database, Corey D. Mood PA-C NPI is 1811090129, taxonomy code is 363A00000X and license number is 085-002802, license state is located at Illinois. Corey D. Mood PA-C physically located at 701 E Hampden Ave Ste 515, Englewood CO, 80113-3880. NPI Number Corey D. Mood PA-C has the Individual type.

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1811090129 NPI number is provided on an as is basis without warranty of any kind. 1811090129 is maintained by the National Plan & Provider Enumeration System. The contents of Corey D. Mood PA-C are for informational purposes only.