Timothy W. Moon,do, Pllc
NPI #1194945410 in Gouverneur, New York
Provider Information
- NPI Number
- 1194945410
- Entity Type
- Organization
- Organization Name
- Timothy W. Moon,do, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 27, 2007
- Last Updated
- Nov 10, 2011
Practice Location
- Address
- 77 W BARNEY ST
- City
- Gouverneur
- State
- New York
- ZIP Code
- 13642-1040
- Phone
- (315) 287-3285
Authorized Official
- Name
- DR. TIMOTHY W. MOON, D.O.
- Title
- PRESIDENT
- Phone
- (315) 486-2987
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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