Individual
DR. JOHN M MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1980 BROADWAY, PLACERVILLE, CA 95667-9001
(530) 622-3536
(530) 622-3538
Mailing address
1980 BROADWAY, PLACERVILLE, CA 95667-9001
(530) 622-3536
(530) 622-3538
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
15474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GDC000640
—
CA
Enumeration date
07/13/2006
Last updated
07/31/2013
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