Organization
DAVID D.MOON, D.O., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DEWAYNE MOON D.O. (OWNER)
(702) 876-2225
Entity
Organization
Contact information
Practice address
241 N BUFFALO DR, BLDG. 1, LAS VEGAS, NV 89145-0306
(702) 876-2225
(702) 876-9307
Mailing address
241 N BUFFALO DR, BLDG. 1, LAS VEGAS, NV 89145-0306
(702) 876-2225
(702) 876-9307
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
705
NV
Other
Enumeration date
04/13/2012
Last updated
03/31/2014
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