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BRIAN W MOON MD

Individual Provider (NPI-1) Active

Anesthesiology

Provider Information

NPI Number
1255430161
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
300 W OTTLEY AVE, FRUITA, CO, 815212118
Phone
(970) 858-3900
Fax
(970) 858-2202

Specialties & Taxonomies

Anesthesiology Primary License: WY #14820A
Anesthesiology License: CA #g80229

All Addresses

LOCATION

300 W OTTLEY AVE

FRUITA, CO, 815212118

(970) 858-3900

MAILING

1200 COLLEGE DR

ROCK SPRINGS, WY, 829015868

(307) 362-3711