Individual
CHRISTINA L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
310 N 7 HILLS RD STE 220, O FALLON, IL 62269-4111
(314) 448-3791
(314) 996-7658
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005558
IL
Other
Enumeration date
08/28/2015
Last updated
09/19/2025
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