IndividualActive
Charles Moon, MD
NPI 1487712295 · Dermatology Physician · Cape Girardeau, MO
Provider details
- NPI number
- 1487712295
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01053751A (IN)
Practice location
1359 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727
Phone: (573) 335-7546
Fax: (573) 335-7550
Mailing address
2116 Megan Dr
Cape Girardeau, MO 63701-1979
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2017-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.