Individual
DR. DONG SOO MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6728 LOOP RD., SUITE 201, CENTERVILLE, OH 45459-2196
(937) 434-6131
(937) 434-8909
Mailing address
6728 LOOP RD., SUITE 201, CENTERVILLE, OH 45459-2196
(937) 434-6131
(937) 434-8909
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35041821
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0378658
—
OH
Enumeration date
10/02/2006
Last updated
07/08/2007
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