Theodore Hyunsub Moon in Salt Lake City - Critical Care Medicine

Theodore Hyunsub Moon - NPI 1568438455

Theodore Hyunsub Moon is a Critical Care Medicine in Salt Lake City, Utah. Theodore Hyunsub Moon practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Theodore Hyunsub Moon is 1568438455. The last update date is 2012-08-02.

Theodore Hyunsub Moon's current location address is Po Box 27128, Salt Lake City, Utah. You can contact this provider via phone number 4352512600 and fax number 4352512610. The mailing address for Theodore Hyunsub Moon is Po Box 27128, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore Hyunsub Moon
Address Po Box 27128, Salt Lake City, Utah
Phone Number 4352512600
Fax Number 4352512610
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1568438455
Provider Enumeration Date 2006-02-28
Last Updated Date 2012-08-02

Provider Mailing Address Detail

Address Po Box 27128
City Salt Lake City
State Utah (UT)
Post Code 841270128
Phone Number 4352512600
Fax Number 4352512610

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No A60692
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A606920 CA --

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FAQs about Theodore Hyunsub Moon

What is the unique 10-digit identifier code assigned to Theodore Hyunsub Moon by the Centers for Medicare & Medicaid Services?

The Theodore Hyunsub Moon has been issued the NPI (National Provider Identifier) 1568438455 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Theodore Hyunsub Moon?

The Theodore Hyunsub Moon is physically situated at Po Box 27128, in the city of Salt Lake City, state of UT, with the postal code 841270128.

What is the area of specialization for Theodore Hyunsub Moon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Theodore Hyunsub Moon is Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0200X.

On what date did the Theodore Hyunsub Moon receive the assignment of its 1568438455 from the Centers for Medicare & Medicaid Services?

The Theodore Hyunsub Moon was issued its 1568438455 by the Centers for Medicare & Medicaid Services on 2006-02-28.

When was the information regarding Theodore Hyunsub Moon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Theodore Hyunsub Moon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-08-02.

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