Individual provider · Type 1 NPI
Colleen Johnson Moore, MD
Vascular Surgery Physician · Cape Girardeau, MO
NPI number
1801877923
Active
Practice location
21 Doctors Park Ste A
Cape Girardeau, MO 63703-4927
Fax (217) 525-2535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2004001641 (MO) |
| Vascular Surgery Physician Primary | 2086S0129X | 036113689 (IL) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
Other vascular surgery physician providers in Cape Girardeau
About NPI 1801877923
Colleen Johnson Moore, MD's National Provider Identifier is 1801877923, issued on Nov 7, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Cape Girardeau, MO. The record was last updated on Jul 27, 2023.