DR. Jared L Moon, DPM
NPI #1649546284 in Crown Point, Indiana
Provider Information
- NPI Number
- 1649546284
- Entity Type
- Individual
- Name
- DR. Jared L Moon, DPM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Podiatrist
- Credential
- DPM
- Enumeration Date
- Mar 28, 2012
- Last Updated
- Aug 17, 2012
Practice Location
- Address
- 10607 RANDOLPH ST
- City
- Crown Point
- State
- Indiana
- ZIP Code
- 46307-7504
- Phone
- (262) 366-7994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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