Irene June Moody M.D.

NPI 1043217102 - Specialist - 174400000X

NPI Details
NPI 1043217102
Gender Female
Enumeration Date 07/05/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE NM, 87106-1148, US
Phone (505) 265-7817
Fax (505) 266-1543
Business Location
3410 INDIAN SCHOOL RD NE
ALBUQUERQUE NM, 87106-1148, US
Phone (505) 265-7817
Fax (505) 266-1543
Toxanomy
Taxonomy Code 174400000X
License State New Mexico
License Number 83262
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According to our database, Dr. Irene June Moody M.D. NPI is 1043217102, taxonomy code is 174400000X and license number is 83262, license state is located at New Mexico. Irene June Moody M.D. physically located at 3410 Indian School Rd Ne, Albuquerque NM, 87106-1148. NPI Number Irene June Moody M.D. has the Individual type.

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1043217102 NPI number is provided on an as is basis without warranty of any kind. 1043217102 is maintained by the National Plan & Provider Enumeration System. The contents of Irene June Moody M.D. are for informational purposes only.