Dr. Terry Lynn Moore
Rheumatology
1225 S. Grand
StLouis
, Missouri 63104
Dr. Terry Lynn Moore
Rheumatology
1225 S. Grand
StLouis
, Missouri 63104
(314) 977-8818
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Terry Lynn Moore
- 1402 S Grand Blvd Rm R213a
- Saint Louis, MO
- Zip : 63104-1004
- Fax : (314) 977-8818
- Phone : (314) 977-8838
Second Address
- Dr. Terry Lynn Moore
- 1225 S. Grand
- St. Louis, MO
- Zip : 63104
- Fax : (314) 977-8818
- Phone : (314) 977-8838
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 34667 | MO |
National Provider Identifier
| NPI | 1114014867 |
|---|---|
| Provider Name | Dr. Terry Lynn Moore |
| First Address | Saint Louis, MO 63104-1004 |
| Second Address | St. Louis, MO 63104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2006 |
| Last Update Date | 22/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A12434 | (02) |
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.