Individual
DOKSU MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35080531
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2310850
—
OH
Enumeration date
04/13/2006
Last updated
02/07/2008
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