Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLEEN JOHNSON MOORE, M.D.
ActiveCOLLEEN JOHNSON MOORE, M.D. is a Vascular Surgery healthcare provider located in CAPE GIRARDEAU, Missouri. NPI 1801877923 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · CAPE GIRARDEAU, MO
Registration Details
- NPI Number
- 1801877923
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 7, 2005 (20.79276411247 yrs)
- Last Updated
- Jul 27, 2023
- Licenses
-
2004001641 (MO)036113689 (IL)
Practice Information
- Address
-
21 DOCTORS PARK STE ACAPE GIRARDEAU, MO, 637034927Browse MO providers · Browse ZIP 63703
- Phone
- 2177880706
- Fax
- 2175252535
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
Other Vascular Surgery Providers in CAPE GIRARDEAU, MO
| Name | Credential | NPI |
|---|---|---|
| MICHAEL D MALONE | MD | 1982650719 |
| ERNEST LEE TAYLOR | MD | 1093012460 |
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.