Individual
DR. GERALD W MORITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11125 DUNN RD, STE 201, SAINT LOUIS, MO 63136-6132
(314) 362-7509
(314) 362-7522
Mailing address
660 S EUCLID AVE, CB 8115, SAINT LOUIS, MO 63110-1010
(314) 362-7509
(314) 362-7522
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
32656
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202102703
—
MO
Enumeration date
10/06/2006
Last updated
11/15/2021
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