Individual
DAVID ROBERT MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 FULTON ST, PALO ALTO, CA 94301-1326
(952) 595-1100
(612) 294-4903
Mailing address
PO BOX 1239, PALO ALTO, CA 94302-1239
(650) 815-5444
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11711
HI
2085R0202X
Diagnostic Radiology Physician
Primary
G69394
CA
2085R0202X
Diagnostic Radiology Physician
L3024
TX
2085R0202X
Diagnostic Radiology Physician
MD11711
HI
Other
Enumeration date
03/24/2006
Last updated
09/12/2024
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