Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARLA J MOORE, MD
ActiveDR. MARLA J MOORE, MD is a Pediatric Critical Care Medicine healthcare provider located in ST CLOUD, Minnesota. NPI 1376507608 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Medicine · ST CLOUD, MN
Registration Details
- NPI Number
- 1376507608
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2006 (20.370186867135 yrs)
- Last Updated
- Oct 27, 2011
- Licenses
-
36444 (CO)CO36444 (CO)MD11545 (HI)105796 (MN)
Practice Information
- Address
-
1200 SIXTH AVE NCENTRACARE CLINICST CLOUD, MN, 563032735Browse MN providers · Browse ZIP 56303
- Phone
- 3202525731
- Fax
- 7194478987
- Primary Specialty
-
Pediatric Critical Care Medicine
2080P0203X
- Additional Specialty
- Pediatric Critical Care Medicine
- Additional Specialty
- Pediatric Critical Care Medicine
- Additional Specialty
- Pediatric Critical Care Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.