Provider Demographics
NPI:1497786727
Name:MOONEY, STEPHEN B (MD)
Entity type:Individual
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First Name:STEPHEN
Middle Name:B
Last Name:MOONEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:15687 GREENBOWER ST NE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-9319
Mailing Address - Country:US
Mailing Address - Phone:330-808-6264
Mailing Address - Fax:330-944-0169
Practice Address - Street 1:2520 WALES AVE NW STE 220
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-2398
Practice Address - Country:US
Practice Address - Phone:330-576-5761
Practice Address - Fax:330-974-1617
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2024-10-23
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Provider Licenses
StateLicense IDTaxonomies
OH35075530M207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology