Individual
NATHAN HERLING MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3009 N BALLAS RD, STE 387C, SAINT LOUIS, MO 63131-2322
(314) 996-5900
(314) 996-5910
Mailing address
3009 N BALLAS RD STE 387C, SAINT LOUIS, MO 63131-2324
(314) 996-5900
(314) 996-5910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013018432
MO
207R00000X
Internal Medicine Physician
Primary
2015018622
MO
Other
Enumeration date
06/21/2013
Last updated
02/15/2021
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