Provider Demographics
NPI:1215497771
Name:MORITZ, SARAH SLAVEN (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SLAVEN
Last Name:MORITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:EMMA
Other - Last Name:SLAVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7353 MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3952
Mailing Address - Country:US
Mailing Address - Phone:434-996-2845
Mailing Address - Fax:
Practice Address - Street 1:1760 E KEN PRATT BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-5311
Practice Address - Country:US
Practice Address - Phone:207-718-8180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0075393207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease