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Individual
DR. THOMAS EVAN MORAN
Active
Individual
DR. THOMAS EVAN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01093526A
IN
207X00000X
Orthopaedic Surgery Physician
036168634
IL
207X00000X
Orthopaedic Surgery Physician
Primary
94316
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01093526A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036168634
IL
Other
Enumeration date
03/24/2019
Last updated
08/25/2025
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