Provider Demographics
NPI:1366872848
Name:GERD, MOIRA CHRISTINE (MED, RD)
Entity type:Individual
Prefix:
First Name:MOIRA
Middle Name:CHRISTINE
Last Name:GERD
Suffix:
Gender:F
Credentials:MED, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 FRANKLIN ST
Mailing Address - Street 2:ST. JOSEPH HOSPITAL: CLINICAL DIETITIANS DEPARTMENT
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1126
Mailing Address - Country:US
Mailing Address - Phone:303-837-7039
Mailing Address - Fax:303-837-6725
Practice Address - Street 1:1960 NORTH OGDEN ST
Practice Address - Street 2:SR. JOANNA BRUNER FAMILY MED CLINIC, STE 460
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218
Practice Address - Country:US
Practice Address - Phone:303-318-2581
Practice Address - Fax:303-318-2536
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered