Individual
ANTHONY JUSTIN MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14135 Q ST, OMAHA, NE 68137-2600
(402) 881-0883
Mailing address
2920 S 187TH PLZ APT 413, OMAHA, NE 68130-3003
(402) 415-3661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2096
NE
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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