Individual
RICHARD J MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.N.
Contact information
Practice address
129 SOUTH PHELPS AVE, ROCKFORD, IL 61108
(815) 289-2936
Mailing address
2145 OLMSTEAD ST, FRIENDSHIP, WI 53934-9308
(608) 339-9282
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
—
IL
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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