Individual
MAYA ELIZABETH MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
615 S. NEW BALLAS ROAD, MERCY JFK CLINIC, SAINT LOUIS, MO 63141
(314) 251-6382
Mailing address
615 S. NEW BALLAS ROAD, MERCY JFK CLINIC, SAINT LOUIS, MO 63141
(314) 251-6382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2013013923
MO
Other
Enumeration date
07/01/2010
Last updated
11/07/2023
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