Individual
JOSHUA D MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4090
(775) 982-6271
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-4090
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO3097
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15147331
CAQH NUMBER
NV
01
—
DO3097
NV LICENSE
NV
Enumeration date
07/24/2018
Last updated
06/28/2022
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