Clay, Angela Coleen Moore

Clay, Angela Coleen Moore is an individual health care provider with primary practice located at 1059 Barton Dr , Fordland MO 65652-7350. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Clay, Angela Coleen Moore can be contacted via phone (417) 767-2273.

Contact Information

Primary practice address
1059 Barton Dr Fordland MO 65652-7350
Phone: (417) 767-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MO2001026670 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2001026670 Missouri
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MO2001026670 Missouri

Profile Details

NPI number 1992899645
LBN Legal business name Clay, Angela Coleen Moore
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 18th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992899645 NPPES
Missouri MEDICAID 209221001
Missouri Other P00750135

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