Provider Demographics
NPI:1780220855
Name:MORELAND, MARK THOMAS (PA-C)
Entity type:Individual
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First Name:MARK
Middle Name:THOMAS
Last Name:MORELAND
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1805 SHEA CENTER DR STE 450
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2255
Mailing Address - Country:US
Mailing Address - Phone:720-510-8428
Mailing Address - Fax:720-464-6856
Practice Address - Street 1:8200 E BELLEVIEW AVENUE SUITE 202C
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2805
Practice Address - Country:US
Practice Address - Phone:303-357-2551
Practice Address - Fax:303-221-2445
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-22
Last Update Date:2025-08-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant