Provider Demographics
NPI:1275348807
Name:MOONLIT
Entity type:Organization
Organization Name:MOONLIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:RUFUS
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-581-7951
Mailing Address - Street 1:6211 S HIGHLAND DR # 4025
Mailing Address - Street 2:
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-2125
Mailing Address - Country:US
Mailing Address - Phone:385-246-2522
Mailing Address - Fax:801-581-5604
Practice Address - Street 1:6211 S HIGHLAND DR # 4025
Practice Address - Street 2:
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84121-2125
Practice Address - Country:US
Practice Address - Phone:385-246-2522
Practice Address - Fax:801-581-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty