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Jeremy Mooneyham
NPI 1538464300 · on the registry since 2011
Practice
- Address
- 118 Este Es Rd Unit H
Taos, NM 87571 - Phone
- (575) 758-7263
- Fax
- (575) 758-3535
- Organisation at this address
- Taos International School
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2011-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico