Individual
MOON JOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2431 ANDREW ST, POCATELLO, ID 83201-8000
(281) 798-2210
Mailing address
2431 ANDREW ST, POCATELLO, ID 83201-8000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M-17400
ID
Other
Enumeration date
06/20/2018
Last updated
05/22/2024
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