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Individual
DR. ANGELA COLEEN MOORE CLAY
Active
Individual
DR. ANGELA COLEEN MOORE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MO2001026670
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MO2001026670
MO
207Q00000X
Family Medicine Physician
Primary
2001026670
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209221001
—
MO
01
—
P00750135
RAILROAD MEDICARE
MO
Enumeration date
10/03/2006
Last updated
03/18/2024
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