Individual
DR. KARL E.T. MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10815 W. MCDOWELL RD., STE 202, AVONDALE, AZ 85392-5007
(623) 433-0202
(623) 433-0204
Mailing address
9250 N 3RD ST, STE 4010, PHOENIX, AZ 85020-2437
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25645
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394734
—
AZ
Enumeration date
08/10/2005
Last updated
10/09/2012
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