EDWARD BRIDGES MOODY M.D. NPI 1275652653

NPI Information

Edward Bridges Moody, M.D. is a preventive medicine/occupational environmental medicine preventive medicine in Peoria, IL. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Edward Bridges Moody, M.D. NPI is 1275652653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 NE RANDOLPH AVE
ST. FRANCIS OCCUPATIONAL HEALTH
PEORIA, IL
ZIP 61606-919
Phone: (309) 624-8525

The enumeration date for this NPI number is 3/28/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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