Individual
BRIAN W MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W OTTLEY AVE, FRUITA, CO 81521-2118
(970) 858-3900
(970) 858-2202
Mailing address
1200 COLLEGE DR, ROCK SPRINGS, WY 82901-5868
(307) 362-3711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14820A
WY
207L00000X
Anesthesiology Physician
G80229
CA
Other
Enumeration date
09/21/2006
Last updated
06/26/2024
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