Individual provider · Type 1 NPI

Marla J. Moore, MD

Pediatric Critical Care Medicine Physician · St. Cloud, MN

NPI number 1376507608 Active

Practice location

1200 Sixth Ave N, Centracare Clinic
St. Cloud, MN 56303-2735

Fax (719) 447-8987

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician 2080P0203X36444 (CO)
Pediatric Critical Care Medicine Physician 2080P0203XCO36444 (CO)
Pediatric Critical Care Medicine Physician 2080P0203XMD11545 (HI)
Pediatric Critical Care Medicine Physician Primary 2080P0203X105796 (MN)

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 1376507608

Marla J. Moore, MD's National Provider Identifier is 1376507608, issued on Apr 13, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in St. Cloud, MN. The record was last updated on Oct 27, 2011.