Individual
DR. JOHN PAUL MOODY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2389 RENAISSANCE DR, SUITE A, LAS VEGAS, NV 89119-6106
(170) 245-8149
(170) 245-8786
Mailing address
2389 RENAISSANCE DR, SUITE A, LAS VEGAS, NV 89119-6106
(170) 245-8149
(170) 245-8786
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B-00793
NV
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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