Individual
ANITA MOONJELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7999
(319) 384-7899
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7999
(319) 384-7899
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34853
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076372
—
IA
01
—
71304
WELLMARK BCBS
IA
Enumeration date
12/08/2005
Last updated
01/22/2008
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