Individual
DR. WANDA RENE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9800 WESTPOINT DRIVE, SUITE 100, INDIANAPOLIS, IN 46256
(317) 585-5050
(317) 585-5040
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01046742A
IN
2083X0100X
Occupational Medicine Physician
01046742A
IN
Other
Enumeration date
11/28/2006
Last updated
07/13/2020
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