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NPI Code Detail

MEDICARE: EUGENE MOON MD

MEDICARE: EUGENE MOON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician74254AZ

General Provider Information

NPI Number : 1437844198
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENE MOON MD
Provider Business Mailing Address
First Line : 350 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4409
Country : US
Telephone Number : 602-406-3000
Fax Number :
Provider Business Practice Location Address
First Line : 350 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4496
Country : US
Telephone Number : 602-406-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2023
Last Update Date : 06/17/2026

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Directions to “ EUGENE MOON MD” Practice Location

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