Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | TL.0005489 | CO |
Y | 207VX0201X | Gynecologic Oncologist | DR.0061891 | CO |
NPI | 1144619735 |
---|---|
Provider Name | Marisa Moroney |
First Address | Denver, CO 80211-3551 |
Second Address | Aurora, CO 80045-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2015 |
Last Update Date | 05/07/2019 |