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Contact Information

MICHAEL S MORITZ, MD
615 S NEW BALLAS RD
SAINT LOUIS, MO63141
 Phone: 314-251-6031
 Fax: 314-251-6343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL S MORITZ · (Male)

NPI Number 1407118318
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2012
Last updated 08/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2017010079
  • IL Medicaid ENROLLED
  • MO Medicaid 1407118318
Hospital affiliation(s)
  • JEFFERSON REGIONAL MEDICAL CENTER - (Acute Care)
    1400 HIGHWAY 61 SOUTH
    CRYSTAL CITY, MO 63019
  • LINCOLN COUNTY MEDICAL CENTER - (Critical Access)
    1000 EAST CHERRY STREET
    TROY, MO 63379
  • MERCY HOSPITAL ST LOUIS - (Acute Care)
    615 NEW BALLAS ROAD
    SAINT LOUIS, MO 63141
  • MERCY HOSPITAL WASHINGTON - (Acute Care)
    901 EAST 5TH STREET
    WASHINGTON, MO 63090
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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