Individual
EDWARD BRIDGES MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NE RANDOLPH AVE, ST. FRANCIS OCCUPATIONAL HEALTH, PEORIA, IL 61606-1919
(309) 624-8525
Mailing address
100 NE RANDOLPH AVE, ST. FRANCIS OCCUPATIONAL HEALTH, PEORIA, IL 61606-1919
(309) 624-8525
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
IL
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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