Individual provider · Type 1 NPI

Justin Dean Moody, DO

Emergency Medicine Physician · St. Louis, MO

NPI number 1639370489 Active

Practice location

10010 Kennerly Rd
St. Louis, MO 63128-2106

Call (314) 525-1906 Map

Mailing address

PO Box 776084
Chicago, IL 60677-6084

Other practice locations

  • 1000 E Cherry St, Troy, MO 63379-1513 · (636) 528-8551
  • 1400 US Highway 61, Festus, MO 63028-4100 · (636) 933-1111
  • 615 S New Ballas Rd, St. Louis, MO 63141-8221 · (314) 251-6090
  • 901 E 5th St, Washington, MO 63090-3127 · (636) 239-8011
  • 434 N West St, Perryville, MO 63775-1359 · (573) 547-2536

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X2008014393 (MO)
Emergency Medicine Physician 207P00000X036119226 (IL)
Emergency Medicine Physician Primary 207P00000X2008014393 (MO)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

401 other providers at this address

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About NPI 1639370489

Justin Dean Moody, DO's National Provider Identifier is 1639370489, issued on May 30, 2007. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 21, 2026.