Michelle Moran Md Pc | |
716 N Tejon St Ste 4 Colorado Springs CO 80903-1012 | |
(719) 328-9653 | |
(719) 328-9738 |
Full Name | Michelle Moran Md Pc |
---|---|
Speciality | Psychologist - Prescribing (medical) |
Location | 716 N Tejon St, Colorado Springs, Colorado |
Authorized Official Name and Position | Michelle Ruth Moran (PRESIDENT) |
Authorized Official Contact | 7193289653 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michelle Moran Md Pc Po Box 38969 Colorado Springs CO 80937-8969 Ph: () - | Michelle Moran Md Pc 716 N Tejon St Ste 4 Colorado Springs CO 80903-1012 Ph: (719) 328-9653 |
NPI Number | 1982885976 |
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Provider Enumeration Date | 11/18/2007 |
Last Update Date | 11/20/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982885976 | NPI | - | NPPES |
10686045 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | MD 39135 (Colorado) | Primary |
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