Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 35075530M | OH |
NPI | 1497786727 |
---|---|
Provider Name | Stephen B Mooney |
First Address | Akron, OH 44304-1437 |
Second Address | Akron, OH 44304-1437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/07/2007 |