Marla J Moore in St Cloud - Pediatric Critical Care Medicine
Marla J Moore - NPI 1376507608
Marla J Moore is a Pediatric Critical Care Medicine in St Cloud, Minnesota. Marla J Moore practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Marla J Moore is 1376507608. The last update date is 2011-10-27.
Marla J Moore's current location address is 1200 Sixth Ave N, St Cloud, Minnesota. You can contact this provider via phone number 3202525731 and fax number 7194478987. The mailing address for Marla J Moore is 1200 Sixth Ave N, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marla J Moore |
|---|---|
| Address | 1200 Sixth Ave N, St Cloud, Minnesota |
| Phone Number | 3202525731 |
| Fax Number | 7194478987 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376507608 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2011-10-27 |
Provider Mailing Address Detail
| Address | 1200 Sixth Ave N |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563032735 |
| Phone Number | 3202525731 |
| Fax Number | 7194478987 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 36444 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32804377 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marla J Moore by the Centers for Medicare & Medicaid Services?
The Marla J Moore has been assigned the NPI (National Provider Identifier) 1376507608 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Marla J Moore is geographically located?
The Marla J Moore is physically situated at the following location: 1200 Sixth Ave N, St Cloud, MN, 563032735.
What is Marla J Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marla J Moore is Pediatric Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376507608 to Marla J Moore?
The Centers for Medicare & Medicaid Services assigned the 1376507608 to Marla J Moore on 2006-04-13.
As of what date were the details pertaining to Marla J Moore last refreshed?
The information related to the Marla J Moore, including its address, specialty, and other relevant details, was last updated on 2011-10-27.