Individual
CHRISTOPHER S MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL DR, ASHLAND, VA 23005-1125
(804) 798-8307
(804) 798-4204
Mailing address
100 MEDICAL DR, ASHLAND, VA 23005-1125
(804) 798-8307
(804) 798-4204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101236031
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10290945
—
VA
Enumeration date
07/11/2006
Last updated
10/30/2007
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