Provider Demographics
NPI:1063452787
Name:MOESER, PIERRE (MD)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:
Last Name:MOESER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:670 MASON RIDGE CENTER DR
Mailing Address - Street 2:STE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8573
Mailing Address - Country:US
Mailing Address - Phone:636-916-9020
Mailing Address - Fax:636-916-9021
Practice Address - Street 1:70 JUNGERMANN CIR
Practice Address - Street 2:STE 300
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1622
Practice Address - Country:US
Practice Address - Phone:636-916-9020
Practice Address - Fax:636-916-9021
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI82570207RR0500X
MO101868207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA64466Medicare UPIN