Individual
MR. JAMES MICHAEL MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
312 OLSON DR, PAPILLION, NE 68046-2978
(402) 933-6300
Mailing address
312 OLSON DR, PAPILLION, NE 68046-2978
(402) 933-6300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA326
AR
363AM0700X
Medical Physician Assistant
Primary
2056
NE
Other
Enumeration date
05/02/2007
Last updated
08/23/2016
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