Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID CARROLL MOOTH, MD
ActiveDAVID CARROLL MOOTH, MD is a Emergency Medicine healthcare provider located in CARLYLE, Illinois. NPI 1255357778 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · CARLYLE, IL
Registration Details
- NPI Number
- 1255357778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2006 (20.077567727673 yrs)
- Last Updated
- Feb 16, 2012
- License
-
036-093809 (IL)
Practice Information
- Address
-
9360 BRINKMAN RDCARLYLE, IL, 622313263Browse IL providers · Browse ZIP 62231
- Phone
- 6185942329
- Primary Specialty
-
Emergency Medicine
207P00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.