Individual
DR. SCOTT D.M. MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PUNCHBOWL ST, THE QUEEN'S MEDICAL CENTER DEPT OF RAD ONC, HONOLULU, HI 96813-2402
(808) 691-4771
(808) 691-4507
Mailing address
1301 PUNCHBOWL ST, THE QUEEN'S MEDICAL CENTER DEPT OF RAD ONC, HONOLULU, HI 96813-2402
(808) 691-4771
(808) 691-4507
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
7901
HI
2085R0001X
Radiation Oncology Physician
MD93402
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07351208
—
HI
01
—
F95536
HMSA
HI
Enumeration date
02/09/2006
Last updated
05/29/2025
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