Individual
MR. GARETT ROGER MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
(844) 772-0049
Mailing address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN151283
AZ
363LF0000X
Family Nurse Practitioner
Primary
263317
AZ
Other
Enumeration date
02/24/2021
Last updated
02/18/2022
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