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Contact Information

ANDREW MOULTON, MD
1 CHILDRENS PL, MSC 8208-0016-01
SAINT LOUIS, MO63110
 Phone: 314-454-2527
 Fax: 314-747-8880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANDREW MOULTON · (Male)

NPI # 1245869726
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2020
Last updated 08/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2023011017
  • VA License # 0101273926
Hospital affiliation(s) Not Available
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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