Individual
DR. SCOTT ALLEN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8621 KILPATRICK PKWY, BENNINGTON, NE 68007-3231
(402) 490-3654
Mailing address
8621 KILPATRICK PKWY, BENNINGTON, NE 68007-3231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1734
NE
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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