Individual
WOO JUNG MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
915 N GRAND BLVD, VA MEDICAL CENTER, DEPT OF MEDICINE MAIL CODE 111, SAINT LOUIS, MO 63106-1621
(314) 289-7628
Mailing address
915 N GRAND BLVD, VA MEDICAL CENTER, DEPT OF MEDICINE MAIL CODE 111, SAINT LOUIS, MO 63106-1621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101018692
MI
208M00000X
Hospitalist Physician
2016014153
MO
Other
Enumeration date
04/13/2010
Last updated
11/05/2024
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