Individual
CHRISTOPHER A MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
54 S MAISH RD STE B, FRANKFORT, IN 46041-2824
(765) 659-1843
(765) 654-5380
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000901A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490972
ANTHEM PROVIDER NUMBER
IN
05
—
200465420
—
IN
Enumeration date
08/10/2006
Last updated
03/23/2021
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