MR. Song Jun Moon, PA-C
NPI #1780019539 in Lackland Afb, Texas
Provider Information
- NPI Number
- 1780019539
- Entity Type
- Individual
- Name
- MR. Song Jun Moon, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 12, 2013
- Last Updated
- Dec 17, 2024
Practice Location
- Address
- 1100 WILFORD HALL LOOP BLDG 4554
- City
- Lackland Afb
- State
- Texas
- ZIP Code
- 78236-5638
- Phone
- (210) 292-1455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Military Health Care Provider |
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