person
Chang Won Moon, MD
Military Health Care Provider in Apo, N/A
NPI 1053479964

Chang Won Moon is a Military Health Care Provider based in Apo, . Chang Won Moon practices in Apo, and has the professional credentials of MD. The NPI Number for Chang Won Moon is 1053479964 and holds a License No. 193368 (N/A).

The current practice location address for Chang Won Moon is B Co 168 Med Bn, Apo, and can be reached out via phone at 315-741-6650. You can also correspond with Chang Won Moon through the mailing address at B CO 168 MED BN, APO, AP - 96205 (mailing address contact number: ).

Location: B Co 168 Med Bn, Apo, , 96205
person
Provider Profile Details
NPI Number
1053479964
Provider Name
Chang Won Moon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
B Co 168 Med Bn, Apo, , 96205
Phone Number
315-741-6650
Fax Number
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
B Co 168 Med Bn
City
Apo
State
Zip
96205
Phone Number
315-741-6650
Fax Number
person
Provider Business Mailing Address Details
Address
B Co 168 Med Bn
City
Apo
State
Zip
96205
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
193368 (New York)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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