Individual
ANDREW MARTIN MOON
Active
Individual
ANDREW MARTIN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-00575
NC
207R00000X
Internal Medicine Physician
60361990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598007940
—
WA
Enumeration date
03/25/2013
Last updated
12/07/2021
Update your record
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