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Individual

ROBERT PAUL MOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 521-9239
Mailing address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 521-9239

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
04318R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04735083
MS
Enumeration date
04/10/2007
Last updated
11/17/2007
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