Organization
YOON MO MYUNG MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOON MO MYUNG MD (OWNER)
(740) 645-7881
Entity
Organization
Contact information
Practice address
5453 GOVERNOR C PEERY HIGHWAY, RAVEN, VA 24639
(740) 645-7881
Mailing address
PO BOX 215, DORAN, VA 24612-0215
(740) 645-7881
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.086322
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2634180
—
OH
Enumeration date
07/03/2007
Last updated
05/06/2009
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