Individual
DR. BARRY LYNN MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
9455 179TH AVE SE, FAIRMOUNT, ND 58030
(701) 640-3530
Mailing address
9455 179TH AVE SE, FAIRMOUNT, ND 58030
(701) 640-3530
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6666
CO
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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