Derryl E Moon


Address: 110 Main St, Moon Chiropractic, Fairmount, ND 58030
Phone: 7014745948

Derryl E Moon (NPI# 1396758611, PAC ID# 5698855070) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1396758611
PAC ID by PECOS 5698855070
Professional Enrollment ID I20080110000564
Full Name Derryl E Moon
Address 110 Main St
Moon Chiropractic
Fairmount
ND 58030
Phone Number 7014745948
Gender M
Medical School PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year 1973
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
110 Main St, Moon Chiropractic, Fairmount, ND 58030 7014745948

Organization Information

Office Location

Street Address 110 MAIN ST
MOON CHIROPRACTIC
City FAIRMOUNT
State ND
Zip 58030

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Competitor

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City FAIRMOUNT
Zip Code 58030
Specialty CHIROPRACTIC
City + Specialty FAIRMOUNT + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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