Jared L Moon DPM

NPI 1649546284 - Podiatrist - 213E00000X

NPI Details
NPI 1649546284
Gender Male
Enumeration Date 03/28/2012
Last Updated 08/17/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
10607 RANDOLPH ST
CROWN POINT IN, 46307-7504, US
Phone (262) 366-7994
Fax
Business Location
10607 RANDOLPH ST
CROWN POINT IN, 46307-7504, US
Phone (262) 366-7994
Fax
Toxanomy
Taxonomy Code 213E00000X
License State Georgia
License Number POD001156
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According to our database, Dr. Jared L Moon DPM NPI is 1649546284, taxonomy code is 213E00000X and license number is POD001156, license state is located at Georgia. Jared L Moon DPM physically located at 10607 Randolph St, Crown Point IN, 46307-7504. NPI Number Jared L Moon DPM has the Individual type.

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1649546284 NPI number is provided on an as is basis without warranty of any kind. 1649546284 is maintained by the National Plan & Provider Enumeration System. The contents of Jared L Moon DPM are for informational purposes only.