Organization
MORAN EYE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY F MORAN JR. MD (DOCTOR PHYSICIAN)
(712) 252-4333
Entity
Organization
Contact information
Practice address
2001 HAMILTON BLVD, STE D, SIOUX CITY, IA 51104
(712) 252-4333
(712) 252-1633
Mailing address
2001 HAMILTON BLVD, STE D, SIOUX CITY, IA 51104
(712) 252-4333
(712) 252-1633
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25860
IA
261QM2500X
Medical Specialty Clinic/Center
19909
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244913
—
IA
Enumeration date
02/02/2006
Last updated
03/08/2012
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