Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark S Moore, DO

Individual provider Diagnostic Radiology Physician · NPI 1457465429

Mark S Moore, DO is a Diagnostic Radiology Physician in Pueblo, Colorado. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone: (719) 557-4000
Fax: (970) 342-2093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 112240 (MO)

Record details

NPI number1457465429
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020
Mailing addressPo Box 7693, Loveland, CO 80537-0693

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