Individual
MISS MICHELLE RUTH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
474 W. 200 NORTH, STE 200, SOUTHWEST BEHAVIORAL HEALTH CENTER, SAINT GEORGE, UT 84770
(435) 634-5600
Mailing address
PO BOX 820387, VEYO, UT 84782-0387
(719) 439-4363
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
8052247-1205
UT
2084P0800X
Psychiatry Physician
7964A
WY
2084P0802X
Addiction Psychiatry Physician
7964A
WY
2084P0802X
Addiction Psychiatry Physician
8052247-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10686045
—
CO
05
—
127253500
—
WY
Enumeration date
09/27/2006
Last updated
04/22/2014
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