Individual
DR. TERRY LYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 S. GRAND, ST. LOUIS, MO 63104
(314) 977-8838
(314) 977-8818
Mailing address
1402 S GRAND BLVD RM R213A, SAINT LOUIS, MO 63104-1004
(314) 977-8838
(314) 977-8818
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
34667
MO
Other
Enumeration date
10/06/2006
Last updated
01/22/2021
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