Individual
DR. EDWARD S. MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-2951
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2951
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
260096
NY
207X00000X
Orthopaedic Surgery Physician
ML20008597
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
A120998
CA
Other
Enumeration date
08/31/2006
Last updated
05/29/2020
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