Individual
JOSEPH F MOONEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1343 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 390-5000
(937) 390-5526
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35062128M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000302735
ANTHEM
OH
01
—
000000302736
ANTHEM
OH
01
—
000000316075
BCBS FAIRFIELD
OH
01
—
000000317071
ANTHEM/BCBS
OH
05
—
0864382
—
OH
05
—
0925075
—
OH
Enumeration date
05/16/2006
Last updated
12/31/2009
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