Individual
THEODORE ROOSEVELT MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 SALEM RD, GREENVILLE, PA 16125-8409
(907) 252-3806
Mailing address
30 SALEM RD, GREENVILLE, PA 16125-8409
(907) 252-3806
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD014008E
PA
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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