Individual
DR. ROBERT P MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 454-6217
(314) 454-2296
Mailing address
660 S EUCLID AVE, C B 8054, SAINT LOUIS, MO 63110-1010
(314) 454-6215
(314) 454-2296
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2009007062
MO
207LP3000X
Pediatric Anesthesiology Physician
Primary
2009007062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101740021
—
MO
05
—
ENROLLED
—
IL
Enumeration date
02/24/2009
Last updated
01/24/2018
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