Moulton, Andrew

Moulton, Andrew is an individual health care provider with primary practice located at 1 Childrens Pl, Msc 8208-0016-01 , St. Louis MO 63110. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Moulton, Andrew can be contacted via phone (314) 454-2527.

Contact Information

Primary practice address
1 Childrens Pl, Msc 8208-0016-01 St. Louis MO 63110
Phone: (314) 454-2527
Fax: (314) 747-8880
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101273926 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2023011017 Missouri

Profile Details

NPI number 1245869726
LBN Legal business name Moulton, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2020
Last updated Aug 1st, 2023 - about 3 years ago

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.

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