Jay J Moradia, DPM Valid NPI

Individual provider · Podiatrist · Saint Louis, MO

NPI

1902339104

Type

Individual (Type 1)

Primary specialty

Podiatrist

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213E00000X

License number

2020016572 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2017-04-05

Last updated

2020-06-18