Individual
JOON-SHIK MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3235
(405) 456-1504
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 456-3235
(405) 456-1504
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
102375
MN
2084N0400X
Neurology Physician
Primary
26756
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
963468000
—
MN
Enumeration date
08/24/2006
Last updated
01/30/2024
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