Individual
JUSTIN PAUL MOMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
(740) 393-9000
Mailing address
7810 MEADOW CHASE DR, SUNBURY, OH 43074-1115
(614) 563-2876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.450251
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
0020791
OH
Other
Enumeration date
03/01/2022
Last updated
10/17/2024
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