Individual
DR. ROBERTO ANTONIO MORAN-BOJORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2300
(417) 556-3625
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2300
(417) 556-3625
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009016964
MO
208M00000X
Hospitalist Physician
2009016964
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063689651
—
MO
05
—
180149001
—
AR
05
—
200258970A
—
OK
05
—
200616820B
—
KS
01
—
P00800421
RAIL ROAD MEDICARE
MO
Enumeration date
05/13/2008
Last updated
09/20/2022
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