Individual
MR. STEVEN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
5734 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 435-7973
Mailing address
12915 TUSCANY WAY, FORT WAYNE, IN 46845-8831
(260) 449-1880
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28166787A
IN
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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