Individual
EDWARD RICHARD MORAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5959 PARK AVENUE, ST FRANCIS HOSPITAL, MEMPHIS, TN 38119-5198
(901) 432-0173
(901) 854-1585
Mailing address
PO BOX 382927, GERMANTOWN, TN 38188-2927
(901) 432-0173
(901) 854-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD20894
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076704
—
TN
01
—
3126765
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/08/2006
Last updated
07/08/2007
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