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

Individual provider Physician Assistant · NPI 1700215993

Rudolph Bonham Maxey Moravek, PA is a Physician Assistant in Aurora, Colorado. Licensed in Colorado, Connecticut and New York. Registered with an NPI since 2013.

Licensed in
CO, CT, NY
In the registry since
2013
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0004210 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA.0004210 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 2945 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 017155-1 (NY)

Record details

NPI number1700215993
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2013
Last updated in NPPESOctober 18, 2018

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