Individual
JOSE EMILIO MORALES MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD RM 2717, SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL, SAINT LOUIS, MO 63104-1003
(314) 577-5634
(314) 577-5616
Mailing address
1465 S GRAND BLVD RM 2717, SSM HEALTH CARDINAL GLENNON CHILDREN'S HOSPITAL, SAINT LOUIS, MO 63104-1003
(314) 577-5634
(314) 577-5616
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
11705342-1205
UT
Other
Enumeration date
03/27/2017
Last updated
11/08/2021
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