Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ronald Lavor Moon, CST/CSFA

Individual provider Surgical Physician Assistant · NPI 1598023954

Ronald Lavor Moon, CST/CSFA is a Surgical Physician Assistant in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

9806 Red Deer St
Las Vegas, NV 89143
Phone: (702) 985-8297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1598023954
Entity typeIndividual (Type 1)
GenderMale
Credentials CST/CSFA
Sole proprietorYes
NPI enumeratedApril 23, 2012
Last updated in NPPESJune 22, 2018

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