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Individual

DR. CATHERINE C MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2598 W WHITE RIVER BLVD, MUNCIE, IN 47303-5251
(765) 282-7595
(765) 288-0737
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01038494A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000618572
ANTHEM BCBS
IN
05
100357720
IN
01
300023483
RAILROAD MEDICARE
IN
Enumeration date
06/07/2006
Last updated
02/11/2021
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