Individual provider · Type 1 NPI

Glen O. Moore, PA-C

Medical Physician Assistant · Lakewood, CO

NPI number 1922404623 Active

Practice location

8383 W Alameda Ave
Lakewood, CO 80226-3007

Call (303) 338-4545 Map

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other practice locations

  • 10350 E Dakota Ave, Denver, CO 80247-1314 · (303) 338-4545

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA0004150 (CO)

Medical Physician Assistant: Definition to come...

234 other providers at this address

Other medical physician assistant providers in Lakewood

See all in Lakewood →

About NPI 1922404623

Glen O. Moore, PA-C's National Provider Identifier is 1922404623, issued on Nov 7, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakewood, CO. The record was last updated on Nov 2, 2022.