Individual
DR. HAWNWAN PHILIP MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1906
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1906
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2011024862
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207117201
—
MO
Enumeration date
06/21/2008
Last updated
08/01/2022
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