Individual
ADDIE ELIZABETH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4633
(602) 744-4765
(602) 744-4799
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36526
AZ
207L00000X
Anesthesiology Physician
A76908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A769080
BLUE SHIELD OF CA
CA
05
—
00A769080
—
CA
05
—
223797
—
AZ
01
—
P00701044
MEDICARE RAILROAD
—
Enumeration date
06/10/2006
Last updated
01/20/2022
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