Individual
JAY J MORADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
621 S NEW BALLAS RD STE 7005B, SAINT LOUIS, MO 63141-8275
(314) 991-3668
Mailing address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2020016572
MO
Other
Enumeration date
04/05/2017
Last updated
06/18/2020
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