Organization
MOON ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E MOON CPO (OWNER)
(504) 391-9141
Entity
Organization
Contact information
Practice address
3634 MAGAZINE ST, NEW ORLEANS, LA 70115-2554
(504) 267-5276
(504) 391-0124
Mailing address
3634 MAGAZINE ST, NEW ORLEANS, LA 70115-2554
(504) 267-5276
(504) 391-0124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
149623
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1974323
—
LA
Enumeration date
02/10/2009
Last updated
02/10/2009
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