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Individual

JEFFREY WILLIAM MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 REGENCY CT STE 100, TOLEDO, OH 43623-3074
(419) 882-0588
(419) 885-3070
Mailing address
1000 REGENCY CT STE 100, TOLEDO, OH 43623-3074
(419) 882-0588
(419) 885-3070

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2022-02655
NC
207W00000X
Ophthalmology Physician
35C.003813
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0181720
OH
Enumeration date
06/12/2018
Last updated
05/07/2026
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