Individual
DAVID JOHN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10215 AUBURN PARK DR, FORT WAYNE, IN 46825-2387
(260) 234-5400
(317) 968-1475
Mailing address
10215 AUBURN PARK DR, FORT WAYNE, IN 46825-2387
(260) 234-5400
(317) 968-1475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044168A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000595587
ANTHEM
IN
05
—
200150750
—
IN
01
—
P00698427
MEDICARE RR
IN
Enumeration date
08/21/2006
Last updated
05/16/2025
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