Individual
MRS. MARGARET MARY MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
615 S NEW BALLAS RD, DEPT. OF ANESTHESIOLOGY, SAINT LOUIS, MO 63141-8221
(636) 386-9224
(636) 386-7679
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014023490
MO
Other
Enumeration date
09/09/2014
Last updated
04/23/2015
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