DR. Timothy W Moon, DO

NPI #1215957832 in Gouverneur, New York

Provider Information

NPI Number: 1215957832
Entity Type: Individual
Name: DR. Timothy W Moon, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jul 19, 2006
Last Updated: Aug 29, 2013

Practice Location

Address: 173 E MAIN ST
City: Gouverneur
State: New York
ZIP Code: 13642-1510
Phone: (315) 287-3285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Timothy W. Moon,do, Pllc	Family Medicine	Gouverneur	AI Deep Dive

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