Individual provider · Type 1 NPI

Andrew Moulton, MD

Pediatric Critical Care Medicine Physician · St. Louis, MO

NPI number 1245869726 Active

Practice location

1 Childrens Pl, Msc 8208-0016-01
St. Louis, MO 63110

Fax (314) 747-8880

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician Primary 2080P0203XW6556 (TX)
Pediatrics Physician 208000000X2023011017 (MO)

Pediatric Critical Care Medicine Physician: 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 surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1245869726

Andrew Moulton, MD's National Provider Identifier is 1245869726, issued on Apr 6, 2020. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in St. Louis, MO. The record was last updated on Oct 5, 2026.