Individual
DR. SHANNON MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
401 E SIOUX AVE, PIERRE, SD 57501-3162
(605) 224-4560
Mailing address
401 E SIOUX AVE, PIERRE, SD 57501-3162
(605) 224-4560
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
918
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4996474
BLUE CROSS & BLUE SHEILD
SD
Enumeration date
02/20/2007
Last updated
11/01/2007
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