Moon, David Robert
Moon, David Robert is an sole proprietor health care provider with primary practice located at 409 Fulton St , Palo Alto CA 94301-1326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Moon, David Robert can be contacted via phone (952) 595-1100.Contact Information
Primary practice address
409 Fulton St
Palo Alto CA 94301-1326
Phone: (952) 595-1100
Fax: (612) 294-4903
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | L3024 | Texas |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11711 | Hawaii |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G69394 | California |
Profile Details
NPI number | 1073573093 |
---|---|
LBN Legal business name | Moon, David Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 24th, 2006 |
Last updated | Aug 3rd, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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