TIM I MOOMAW

GALLIPOLIS, OH
NPI1386035954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  COA.17111-NP)
Enumeration Date2015-02-18
Last Update Date2015-02-18
Business Address
-- TIM I MOOMAW NP
100 JACKSON PIKE
GALLIPOLIS, OH 45631-1560
Phone number: 740-446-5000
Mailing Address
-- TIM I MOOMAW NP
75 REMIT DR #1367
CHICAGO, IL 60675-1367
Phone number: 866-916-5259
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