Individual
JEFFREY P MOOMEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
7827 HIGHWAY N, SUITE 104, O FALLON, MO 63368-6704
(314) 620-1672
(636) 561-7159
Mailing address
7827 HIGHWAY N, SUITE 104, O FALLON, MO 63368-6704
(314) 620-1672
(636) 561-7159
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
071732
MO
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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