Martin Ryan Moon M.D.

NPI 1174516934 - Surgery - 208600000X

NPI Details
NPI 1174516934
Gender Male
Enumeration Date 08/26/2005
Last Updated 09/28/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
20 MEDICAL VILLAGE DR
STE 132
EDGEWOOD KY, 41017-5401, US
Phone (859) 578-5880
Fax (859) 578-5881
Business Location
20 MEDICAL VILLAGE DR
STE 132
EDGEWOOD KY, 41017-5401, US
Phone (859) 578-5800
Fax (589) 578-5881
Toxanomy
Taxonomy Code 208600000X
License State Ohio
License Number 35-070819
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According to our database, Dr. Martin Ryan Moon M.D. NPI is 1174516934, taxonomy code is 208600000X and license number is 35-070819, license state is located at Ohio. Martin Ryan Moon M.D. physically located at 20 Medical Village Dr, Edgewood KY, 41017-5401. NPI Number Martin Ryan Moon M.D. has the Individual type.

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1174516934 NPI number is provided on an as is basis without warranty of any kind. 1174516934 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Ryan Moon M.D. are for informational purposes only.