Individual
DR. PHILLIP A MOREANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 ARKANSAS ST, SUITE 300, LAWRENCE, KS 66044-1335
(785) 505-4950
(785) 505-5240
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 66044-1335
(785) 505-2988
(785) 505-5228
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-24709
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050928302
—
KS
Enumeration date
06/24/2006
Last updated
04/18/2024
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