Individual
DR. TIMOTHY D MOMANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 39TH AVE, POB 207, AMANA, IA 52203-8229
(319) 622-3231
(319) 622-3077
Mailing address
603 38TH AVE, AMANA, IA 52203-8018
(319) 622-6292
(319) 622-3077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26119
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036913
—
IA
01
—
03974
WELLMARK BCBS
IA
01
—
621301
UHC OF THE RIVER VALLEY
IA
Enumeration date
08/29/2006
Last updated
02/15/2008
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