Individual
RICHARD J MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2420 SONOMA ST STE B, REDDING, CA 96001-3027
(530) 246-4455
(530) 229-1148
Mailing address
2420 SONOMA ST STE B, REDDING, CA 96001-3027
(530) 246-4455
(530) 229-1148
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A54430
CA
207V00000X
Obstetrics & Gynecology Physician
A54430
CA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
A54430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094810
—
CA
Enumeration date
09/14/2006
Last updated
11/12/2020
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