Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY D MOORE, D.O.
ActiveTIMOTHY D MOORE, D.O. is a Family Medicine healthcare provider located in O FALLON, Missouri. NPI 1396762910 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · O FALLON, MO
Registration Details
- NPI Number
- 1396762910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.076646139049 yrs)
- Last Updated
- Feb 15, 2021
- Licenses
-
106405 (MO)106405 (MO)
Practice Information
- Address
-
2630 HIGHWAY KO FALLON, MO, 633686624Browse MO providers · Browse ZIP 63368
- Phone
- 6362405454
- Fax
- 6369805335
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in O FALLON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. HEATHER CAROLYN WILLIAMSON | DO | 1700880358 |
| DR. VAN A HARGRAVES | MD | 1255326385 |
| JOHN J. O'BRIEN | M.D. | 1083689061 |
| DR. BETH A ZIMMER | MD | 1548221823 |
| DR. WAN IN L KOO | D.O. | 1871554865 |
| DR. MARYAM NAEMI | D.O. | 1619938628 |
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.