Individual provider · Type 1 NPI
Chang Won Moon, MD
Military Health Care Provider · Apo, KR
NPI number
1053479964
Active
Practice location
B Co 168 Med Bn
Apo, KR 96205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 193368 (NY) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Apo
About NPI 1053479964
Chang Won Moon, MD's National Provider Identifier is 1053479964, issued on Dec 4, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Apo, KR. The record was last updated on Jul 8, 2007.