JUSTIN DEAN MOODY

PEORIA, IL
NPI1639370489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  AS3581875-246)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MO  2008014393)
Enumeration Date2007-05-30
Last Update Date2019-12-19
Business Address
Dr. JUSTIN DEAN MOODY D.O.
530 NE GLEN OAK AVE
PEORIA, IL 61603-3133
Phone number: 309-655-4060
Mailing Address
Dr. JUSTIN DEAN MOODY D.O.
611 W HIGH ST
PEORIA, IL 61606-1926
Phone number: 309-922-9107