Individual provider · Type 1 NPI

Rudolph Bonham Maxey Moravek, P.A.

Medical Physician Assistant · Aurora, CO

NPI number 1700215993 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Call (720) 848-0000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0004210 (CO)
Physician Assistant 363A00000X2945 (CT)
Medical Physician Assistant 363AM0700X017155-1 (NY)
Medical Physician Assistant Primary 363AM0700XPA.0004210 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1700215993

Rudolph Bonham Maxey Moravek, P.A.'s National Provider Identifier is 1700215993, issued on Nov 7, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Oct 18, 2018.