Individual
DR. JOSEPH TODD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP, DC
Contact information
Practice address
1505 S BIG BEND BLVD, RICHMOND HEIGHTS, MO 63117-2205
(314) 900-0691
(314) 900-0699
Mailing address
19594 STATE HIGHWAY 14, MACEDONIA, IL 62860-1127
(618) 435-3960
(314) 900-0699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023010527
MO
363LF0000X
Family Nurse Practitioner
209027238
IL
Other
Enumeration date
01/05/2007
Last updated
02/06/2026
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