Individual
JOSEPH M MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
210 MOUND ST, LEBANON, OH 45036-1937
(513) 932-4961
Mailing address
PO BOX 343, LEBANON, OH 45036-0343
(513) 932-4961
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002279
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0867138
—
OH
01
—
480013753
RAILROAD MEDICARE
OH
Enumeration date
05/24/2005
Last updated
03/22/2016
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