Individual
REBECCA F MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
(480) 785-4775
(480) 785-0908
Mailing address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
(480) 785-4775
(480) 785-0908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27149
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452251
—
AZ
Enumeration date
04/03/2006
Last updated
06/29/2009
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