Provider Demographics
NPI:1669260089
Name:MORAN, JOHN CONOR (MD/PHD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CONOR
Last Name:MORAN
Suffix:
Gender:
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PASTEUR DR BLDG L235
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2296
Mailing Address - Country:US
Mailing Address - Phone:650-725-1968
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR BLDG L235
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2296
Practice Address - Country:US
Practice Address - Phone:650-725-1968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program