Individual
CATHERINE RUTH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
615 S NEW BALLAS RD, FAMILY MEDICINE, SAINT LOUIS, MO 63141-8221
(314) 251-8888
(314) 251-8889
Mailing address
12680 OLIVE BLVD, FAMILY MEDICINE, SAINT LOUIS, MO 63141-6322
(314) 251-8888
(314) 251-8889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014018093
MO
Other
Enumeration date
06/13/2014
Last updated
10/15/2014
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