Susan Ott Moran, MD | |
559 Vincent St, Attn: 21 Mdg/cc, Peterson Afb, CO 80914-1540 | |
(719) 556-1250 | |
(866) 867-7926 |
Full Name | Susan Ott Moran |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 559 Vincent St, Peterson Afb, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326010521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD063582L (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
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Susan Ott Moran, MD 559 Vincent St, Attn: 21 Mdg/cc, Peterson Afb, CO 80914-1540 Ph: (719) 556-1250 | Susan Ott Moran, MD 559 Vincent St, Attn: 21 Mdg/cc, Peterson Afb, CO 80914-1540 Ph: (719) 556-1250 |
Dr. John Mark Bouchillon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 559 Vincent St, Attn: 21 Hcos/sgoc - Pediatrics, Peterson Afb, CO 80914 Phone: 719-556-1197 Fax: 877-813-1756 | |
Dr. Matthew Sean Mcdonough, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 559 Vincent St, Attn 21mdos/sgoc - Pediatrics, Peterson Afb, CO 80914 Phone: 719-556-1197 Fax: 866-867-7926 |