Individual
ABIGAIL ROSE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4530 E RAY RD STE 125, PHOENIX, AZ 85044-6096
(602) 343-6167
Mailing address
4530 E RAY RD STE 125, PHOENIX, AZ 85044-6096
(616) 745-8702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11139
AZ
Other
Enumeration date
06/25/2025
Last updated
11/07/2025
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