Healthcare Provider Details

I. General information

NPI: 1174325930
Provider Name (Legal Business Name): MALLORY CAROLINE MOORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 S GRAND BLVD
SAINT LOUIS MO
63104-1004
US

IV. Provider business mailing address

2 MARBAIS PL
LITTLE ROCK AR
72223-9205
US

V. Phone/Fax

Practice location:
  • Phone: 314-617-3811
  • Fax:
Mailing address:
  • Phone: 870-416-1540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number999999999
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: