Individual
DR. JUSTIN SUK JOO MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, M.P.H.
Contact information
Practice address
950 E HARVARD AVE STE 570, DENVER, CO 80210
(303) 715-9024
(303) 715-5020
Mailing address
950 E HARVARD AVE STE 570, DENVER, CO 80210-7003
(303) 715-9024
(303) 715-5020
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DR.0046584
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71524011
—
CO
Enumeration date
10/19/2006
Last updated
08/09/2019
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