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NPI Code Detail

MEDICARE: JANET MORALES M.D.

MEDICARE:   JANET  MORALES  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35355CO

General Provider Information

NPI Number : 1265593610
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET MORALES M.D.
Provider Business Mailing Address
First Line : 1304 CHINOOK LN
Second Line :
City : PUEBLO
State : CO
Zip : 81001-1851
Country : US
Telephone Number : 719-562-3222
Fax Number : 719-584-0119
Provider Business Practice Location Address
First Line : 1304 CHINOOK LN
Second Line :
City : PUEBLO
State : CO
Zip : 81001-1851
Country : US
Telephone Number : 719-562-3222
Fax Number : 719-584-0119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 07/08/2007

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Directions to “ JANET MORALES M.D.” Practice Location

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