Elizabeth Tracy Moran, P.A.

NPI #1174508279 in Longmont, Colorado

Provider Information

NPI Number: 1174508279
Entity Type: Individual
Name: Elizabeth Tracy Moran, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Dec 12, 2005
Last Updated: Sep 15, 2016

Practice Location

Address: 2030 MOUNTAIN VIEW AVE
Address 2: SUITE 210
City: Longmont
State: Colorado
ZIP Code: 80501-3178
Phone: (303) 684-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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