Individual provider · Type 1 NPI

Derryl E. Moon, DC

Chiropractor · Fairmount, ND

NPI number 1396758611 Active

Practice location

110 Main Street
Fairmount, ND 58030-0291

Mailing address

PO Box 291
Fairmount, ND 58030-0291

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X342 (ND)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1396758611

Derryl E. Moon, DC's National Provider Identifier is 1396758611, issued on Aug 15, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fairmount, ND. The record was last updated on Dec 12, 2007.