Individual
MR. MARK MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
609 S CHRISTOPHER ROAD, BELEN, NM 87002
(505) 864-5454
Mailing address
7450 FLEMING ST, PITTSBURGH, PA 15218-2013
(817) 992-0494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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