Individual
DAVID D. MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4567 E. 9TH AVENUE, DENVER, CO 80220-5337
(303) 320-2455
(303) 306-7753
Mailing address
P.O. BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35693
CO
207P00000X
Emergency Medicine Physician
Primary
DR.0035693
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01356930
—
CO
01
—
930043980
RAILROAD MEDICARE
CO
Enumeration date
01/05/2006
Last updated
08/18/2015
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