Moore, John David
Moore, John David is an individual health care provider with primary practice located at 3015 N Ballas Rd Dept Anesthesiology, Saint Louis MO 63131-2329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Moore, John David can be contacted via phone (800) 862-9980.Contact Information
Primary practice address
3015 N Ballas Rd Dept Anesthesiology
Saint Louis MO 63131-2329
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 110519 | Missouri |
Profile Details
| NPI number | 1396731774 |
|---|---|
| LBN Legal business name | Moore, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Apr 17th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396731774 | NPPES |
| Missouri | MEDICAID | 204739510 |
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