Mark Moran, PAC

NPI #1780772012 in Sterling, Illinois

Provider Information

NPI Number: 1780772012
Entity Type: Individual
Name: Mark Moran, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 11, 2006
Last Updated: Jul 17, 2007

Practice Location

Address: 101 E MILLER RD
City: Sterling
State: Illinois
ZIP Code: 61081-1252
Phone: (815) 625-4790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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