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Individual

BYRON B. MORALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-1525
(419) 209-0252
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-1525
(419) 209-0252

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.066941
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000030473
ANTHEM BC/BS
05
0978385
OH
Enumeration date
08/02/2005
Last updated
08/15/2008
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