Individual
FRANK DELBERT MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MEDICAL PLAZA, SUITE 200, LAKE ST LOUIS, MO 63367
(636) 561-8088
(636) 561-1405
Mailing address
300 MEDICAL PLAZA, SUITE 200, LAKE ST LOUIS, MO 63367
(636) 561-8088
(636) 561-1405
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R531
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200848919
—
MO
Enumeration date
03/06/2006
Last updated
06/30/2010
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