# DAVID D.MOON, D.O., LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932466935
- **Authorized official:** DR. DAVID DEWAYNE MOON D.O. (OWNER)
- **Authorized official phone:** (702) 876-2225

## Contact information

- **Practice address:** 241 N BUFFALO DR, BLDG. 1, LAS VEGAS, NV 89145-0306
- **Practice address phone:** (702) 876-2225
- **Practice address fax:** (702) 876-9307
- **Mailing address:** 241 N BUFFALO DR, BLDG. 1, LAS VEGAS, NV 89145-0306
- **Mailing address phone:** (702) 876-2225
- **Mailing address fax:** (702) 876-9307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 705 | NV | Yes |

## Other

- **Enumeration date:** 04/13/2012
- **Last updated:** 03/31/2014