Dr. Stewart Edward Moreland
Oral and Maxillofacial Pathology
2821 N Ballas Rd Suite 225
StLouis
, Missouri 63131-2321
Dr. Stewart Edward Moreland
Oral and Maxillofacial Pathology
2821 N Ballas Rd Suite 225
StLouis
, Missouri 63131-2321
(314) 569-1103
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Stewart Edward Moreland
- 2821 N Ballas Rd Suite 225
- St. Louis, MO
- Zip : 63131-2321
- Fax : (314) 569-1103
- Phone : (314) 569-1012
Second Address
- Dr. Stewart Edward Moreland
- 2821 N Ballas Rd Suite 225
- St. Louis, MO
- Zip : 63131-2321
- Fax : (314) 569-1103
- Phone : (314) 569-1012
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 14036 | MO |
National Provider Identifier
| NPI | 1417060138 |
|---|---|
| Provider Name | Dr. Stewart Edward Moreland |
| First Address | St. Louis, MO 63131-2321 |
| Second Address | St. Louis, MO 63131-2321 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2006 |
| Last Update Date | 15/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T80915 | (02) | MO |
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.