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Individual

DR. WILLIAM A MOON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1241 S PARKER RD, #202, DENVER, CO 80231-2159
(303) 337-3623
(303) 337-3695
Mailing address
1241 S PARKER RD, #202, DENVER, CO 80231-2159
(303) 337-3623
(303) 337-3695

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
13766
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01137660
CO
Enumeration date
03/17/2006
Last updated
07/08/2007
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