IndividualActive
Ronald Moon, CST/CSFA
NPI 1598023954 · Surgical Physician Assistant · Las Vegas, NV
Provider details
- NPI number
- 1598023954
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CST/CSFA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9806 Red Deer St
Las Vegas, NV 89143
Phone: (702) 985-8297
Approximate (ZIP-level) locationGet directions
Mailing address
9806 Red Deer St
Las Vegas, NV 89143-1155
Registry dates
- Enumerated
- 2012-04-23
- Last updated
- 2018-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.