IndividualActive
Gregory Maroney, PA-C
NPI 1972550184 · Medical Physician Assistant · Moriarty, NM
Provider details
- NPI number
- 1972550184
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2003-0005 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1108 W US Route 66
Moriarty, NM 87035-1006
Phone: (505) 832-4434
Fax: (505) 832-5024
Approximate (ZIP-level) locationGet directions
Mailing address
12127b Hwy 14n Suite 5
Cedar Crest, NM 87008-9499
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2018-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.