Dr Paul Daeboo Moon, DC | |
10700 Highway 55 Ste 100, Plymouth, MN 55441-6130 | |
(763) 543-9080 | |
(763) 543-9082 |
Full Name | Dr Paul Daeboo Moon |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 26 Years |
Location | 10700 Highway 55 Ste 100, Plymouth, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871663815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC3736 (Minnesota) | Primary |
Provider Name | Y-chiropractic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275711764 PECOS PAC ID: 0547287617 Enrollment ID: O20051027000924 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Daeboo Moon, DC 10700 Highway 55 Ste 100, Plymouth, MN 55441-6130 Ph: (763) 543-9080 | Dr Paul Daeboo Moon, DC 10700 Highway 55 Ste 100, Plymouth, MN 55441-6130 Ph: (763) 543-9080 |
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