| Moon Chiropractic Clinic | |
|
110 Main Ave., Fairmount, ND 58030 | |
| (701) 474-5948 | |
| Not Available |
| Full Name | Moon Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 110 Main Ave., Fairmount, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780940221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Chiropractic Clinic Po Box 291, Fairmount, ND 58030-0291 Ph: () - | Moon Chiropractic Clinic 110 Main Ave., Fairmount, ND 58030 Ph: (701) 474-5948 |
Derryl E Moon, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 110 Main Street, Fairmount, ND 58030 Phone: 701-474-5948 | |
Dr. Barry Lynn Moon, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9455 179th Ave Se, Fairmount, ND 58030 Phone: 701-640-3530 |