Justin Dean Moody in Peoria - Emergency Medicine
Justin Dean Moody - NPI 1639370489
Justin Dean Moody is a Emergency Medicine in Peoria, Illinois. Justin Dean Moody practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Justin Dean Moody is 1639370489. The last update date is 2019-12-19.
Justin Dean Moody's current location address is 611 W High St, Peoria, Illinois. You can contact this provider via phone number 3099229107. The mailing address for Justin Dean Moody is 611 W High St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Dean Moody |
|---|---|
| Address | 611 W High St, Peoria, Illinois |
| Phone Number | 3099229107 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1639370489 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2019-12-19 |
Provider Mailing Address Detail
| Address | 611 W High St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616061926 |
| Phone Number | 3099229107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 2008014393 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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What is the unique 10-digit identifier code assigned to Justin Dean Moody by the Centers for Medicare & Medicaid Services?
The Justin Dean Moody has been issued the NPI (National Provider Identifier) 1639370489 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Justin Dean Moody?
The Justin Dean Moody is situated at 611 W High St, in the city of Peoria, state of IL, with the zip code 616061926.
What is Justin Dean Moody's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Justin Dean Moody is Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 207P00000X.
On what date was the 1639370489 assigned to Justin Dean Moody?
The Justin Dean Moody was issued its 1639370489 on 2007-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Justin Dean Moody's details last updated?
The information pertaining to the Justin Dean Moody, including its address, specialty, and other details, was most recently updated on 2019-12-19.
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