Individual
THOMAS J MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 387-2800
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 367-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38679
CO
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
38679
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013334
KAISER-COMMERCIAL NUMBER
—
05
—
11881054
—
CO
Enumeration date
02/27/2007
Last updated
02/04/2011
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