Individual
THOMAS MICHAEL MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
889 S BRENTWOOD, SUITE 203, SAINT LOUIS, MO 63105
(314) 727-9541
Mailing address
10472 FRONTENAC WOODS LN, SAINT LOUIS, MO 63131
(314) 567-4997
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30048
MO
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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