Dr. Michael S. Moritz
Nuclear Medicine Specialist
615 S New Ballas Rd
Saint Louis
, Missouri 63141
Dr. Michael S. Moritz
Nuclear Medicine Specialist
615 S New Ballas Rd
Saint Louis
, Missouri 63141
(314) 991-8206
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Michael S. Moritz
- 11475 Olde Cabin Rd Ste 200
- Saint Louis, MO
- Zip : 63141-7129
- Fax : (314) 991-8206
- Phone : (314) 991-8210
Second Address
- Dr. Michael S. Moritz
- 615 S New Ballas Rd
- Saint Louis, MO
- Zip : 63141
- Fax : (314) 251-6343
- Phone : (314) 251-6031
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 2017010079 | MO |
National Provider Identifier
| NPI | 1407118318 |
|---|---|
| Provider Name | Dr. Michael S. Moritz |
| First Address | Saint Louis, MO 63141-7129 |
| Second Address | Saint Louis, MO 63141 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2012 |
| Last Update Date | 17/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1407118318 | (05) | MO |
| ENROLLED | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.