Individual provider · Type 1 NPI

Richard Moore Jr.

Nephrology Physician · St. Louis Park, MN

NPI number 1861479834 Active

Practice location

3931 Louisiana Ave S, Suite W300
St. Louis Park, MN 55426-4375

Call (952) 993-3265 Map

Mailing address

3800 Park Nicollet Blvd, Credentialing
St. Louis Park, MN 55416-2527

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300X34906 (MN)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1861479834

Richard Moore Jr.'s National Provider Identifier is 1861479834, issued on Dec 29, 2005. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 5, 2012.