Individual
WONG KYUN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 13TH AVE S STE 101, GREAT FALLS, MT 59405-4300
(406) 455-2831
(406) 455-2824
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 204-8168
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
171635
MT
208200000X
Plastic Surgery Physician
266214
NY
208600000X
Surgery Physician
266214
NY
Other
Enumeration date
05/23/2006
Last updated
04/13/2026
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