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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAMELA D MOON

Active

PAMELA D MOON is a 125J00000X healthcare provider located in RICHFIELD, Minnesota. NPI 1972991552 is currently active in the NPPES registry. Verify at CMS.

125J00000X · RICHFIELD, MN

Registration Details

NPI Number
1972991552
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2015 (11.577334151752 yrs)
Last Updated
Jan 5, 2015
License
DT16 (MN)

Practice Information

Address
6600 LYNDALE AVE S
132
RICHFIELD, MN, 554233380
Browse MN providers · Browse ZIP 55423
Phone
6122438999
Primary Specialty
125J00000X
125J00000X

Other 125J00000X Providers in RICHFIELD, MN

Name Credential NPI
THERESA MARIE AYMOND DT 1851800429
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.