| Doctor Name: | TERRY L. MOORE |
| NPI Number: | 1114014867 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 34667 |
| Business Practice Address: | 3660 Vista Ave. St. Louis, MO - 63110 |
| Business Phone Number: | 3149776195 |
| Business Fax Number: | 3149778818 |
| Mailing Address: | 3691 Rutger St, Provider Enrollment ST. LOUIS |
| State: | MO |
| Postal Code: | 63110 |
| Phone Number: | 3149774440 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 03/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RR0500X |
| License Number: | 34667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Rheumatology |
| Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |