Individual
DR. JAMES S. MOONEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 MILLIS AVE, BOONVILLE, IN 47601-6606
(812) 897-5666
Mailing address
920 MILLIS AVE, BOONVILLE, IN 47601-6606
(812) 897-5666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
IN01030438
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002542440
—
IN
Enumeration date
03/27/2006
Last updated
07/08/2007
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