person
Colleen Johnson Moore, MD
Vascular Surgery Physician in Cape Girardeau, Missouri
NPI 1801877923

Colleen Johnson Moore is a Vascular Surgery Physician based in Cape Girardeau, MO and is specialized in Vascular Surgery. Colleen Johnson Moore practices in Cape Girardeau, MO and has the professional credentials of MD. The NPI Number for Colleen Johnson Moore is 1801877923 and holds a License No. 2004001641 (Missouri).

The current practice location address for Colleen Johnson Moore is 21 Doctors Park Ste A, Cape Girardeau, MO and can be reached out via phone at 217-788-0706 and via fax at 217-525-2535. You can also correspond with Colleen Johnson Moore through the mailing address at 21 DOCTORS PARK STE A, CAPE GIRARDEAU, MO - 63703-4927 (mailing address contact number: 573-837-4131).

Location: 21 Doctors Park Ste A, Cape Girardeau, MO, 63703-4927
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Provider Profile Details
NPI Number
1801877923
Provider Name
Colleen Johnson Moore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
21 Doctors Park Ste A, Cape Girardeau, MO, 63703-4927
Phone Number
217-788-0706
Fax Number
217-525-2535
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036113689 05 IL
F400526418 01 IL MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
21 Doctors Park Ste A
City
State
Zip
63703-4927
Phone Number
217-788-0706
Fax Number
217-525-2535
person
Provider Business Mailing Address Details
Address
21 Doctors Park Ste A
City
State
Zip
63703-4927
Phone Number
573-837-4131
Fax Number
573-837-4132
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
2004001641 (Missouri)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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