Individual
SUSAN OTT MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 MDG, 755 SCOTT CIRCLE, JBPHH, HI 96853
(808) 448-6291
Mailing address
15 MDG, 755 SCOTT CIRCLE, JBPHH, HI 96853
(808) 448-6291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD063582L
PA
Other
Enumeration date
02/02/2006
Last updated
01/10/2025
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