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Dr. Jason L Moore, MD
Emergency Medicine Physician in Saint Paul, Minnesota
NPI 1720049109

Jason L Moore is a Emergency Medicine Physician based in Southfield, MN. Jason L Moore practices in Saint Paul, MN and has the professional credentials of MD. The NPI Number for Jason L Moore is 1720049109 and holds a License No. 61613 (Minnesota).

The current practice location address for Jason L Moore is 45 10Th St W, Saint Paul, MN and can be reached out via phone at 651-232-3000.

Location: 45 10Th St W, Saint Paul, MN, 48034-2358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720049109
Provider Name
Jason L Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
45 10Th St W, Saint Paul, MN, 48034-2358
Phone Number
651-232-3000
Fax Number
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104715823 05 MI
104785416 05 MI
104785425 05 MI
JM080458 01 MI BC/BS OF MI
institution
Provider Business Practice Location Address Details
Address
45 10Th St W
City
Saint Paul
State
Minnesota
Zip
55102-1062
Phone Number
651-232-3000
Fax Number
person
Provider Business Mailing Address Details
Address
45 10Th St W
City
Saint Paul
State
Minnesota
Zip
55102-1062
Phone Number
651-232-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
4301080458 (Michigan)
Definition
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 response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
61613 (Minnesota)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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