Individual
DR. JONAH RALPH MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1675 E MAIN ST, BOX 328, KENT, OH 44240-5818
(330) 593-1049
(330) 572-3836
Mailing address
1675 E MAIN ST, BOX 328, KENT, OH 44240-5818
(330) 593-1049
(330) 572-3836
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.124095
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109133
—
OH
01
—
P01383997
RR MEDICARE
—
Enumeration date
08/19/2008
Last updated
08/29/2016
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