Individual
THOMAS E MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
285 E STATE ST, SUITE 260, COLUMBUS, OH 43215-4354
(614) 566-9035
(614) 566-9302
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50000162
OH
Other
Enumeration date
06/01/2006
Last updated
02/23/2012
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