Individual
HERBERT SLOCUM MOONEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2635 N 7TH ST, GRAND JCT, CO 81501-8209
(970) 244-2070
(970) 241-1308
Mailing address
1120 WELLINGTON AVE, SUITE 206, GRAND JCT, CO 81501-6131
(970) 243-8812
(970) 241-1308
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
32351
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01323518
—
CO
05
—
T0160
—
UT
Enumeration date
04/13/2006
Last updated
03/06/2008
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