Individual
PATRICK J MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD STE 301, SAINT LOUIS, MO 63136-6132
(314) 953-8250
Mailing address
11125 DUNN RD STE 301, SAINT LOUIS, MO 63136-6132
(314) 953-8250
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2022034935
MO
207X00000X
Orthopaedic Surgery Physician
ME148643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME148643
STATE LICENSE
FL
Enumeration date
06/13/2015
Last updated
10/25/2022
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