IndividualActive

Marla Moore, MD

NPI 1376507608 · Pediatric Critical Care Medicine Physician · St Cloud, MN

Provider details

NPI number: 1376507608
Entity type: Individual
Primary specialty: Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: 36444 (CO)

Pediatric Critical Care Medicine PhysicianPrimary2080P0203XLicense 105796 (MN)
Allopathic & Osteopathic Physicians
Pediatric Critical Care Medicine Physician2080P0203XLicense 36444 (CO)
Allopathic & Osteopathic Physicians
Pediatric Critical Care Medicine Physician2080P0203XLicense CO36444 (CO)
Allopathic & Osteopathic Physicians
Pediatric Critical Care Medicine Physician2080P0203XLicense MD11545 (HI)
Allopathic & Osteopathic Physicians

1200 Sixth Ave N

Centracare Clinic

St Cloud, MN 56303-2735

Phone: (320) 252-5731

Fax: (719) 447-8987

Approximate (ZIP-level) locationGet directions

1200 Sixth Ave N

St Cloud, MN 56303-2735

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.