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Johanna E Moore

  • Female

Medical Specialty

Professional ID

  • NPI: 1902282809
  • PECOS ID: 9234448051
  • Enrollment ID: I20151019001275
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2015

Hospital Service

  • Hospital CCN1: 060022
  • Business Name (LBN)1: University Colo Health Memorial Hospital Central

Medical Practices

  • Organization Name: Poudre Valley Medical Group Llc
  • Group Practice ID assigned by PECOS: 9638208549
  • Number of Group Practice member: 707

Location

Location

Location

  • Address1: 5881 W 16th St
  • Address2: Uchmg Peakview Medical Center
  • City: Greeley
  • State: Colorado
  • Zip Code: 80634
  • Phone Number: (970)313-2700

Location

  • Address1: 5881 W 16th St D
  • Address2: Uchmg Urology Peakview
  • City: Greeley
  • State: Colorado
  • Zip Code: 80634
  • Phone Number: (970)353-1551

Location

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):