NPI 1053479964

Chang Won Moon, MD

Practitioner Military Health Care Provider Apo, AP

Practice location

Address: B Co 168 Med Bn, Apo, AP 96205
Phone: (315) 741-6650

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 193368 (NY)

Other Military Health Care Provider providers in Armed Forces Pacific →

Registry record

NPI: 1053479964
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.