IndividualActive
Debra Moss, MD
NPI 1437474202 · General Practice Physician · Saint Louis, MO
Provider details
- NPI number
- 1437474202
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 113637 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12929 Ballantine Ct
Saint Louis, MO 63146-3701
Phone: (314) 628-9820
Approximate (ZIP-level) locationGet directions
Mailing address
12929 Ballantine Ct
Saint Louis, MO 63146-3701
Registry dates
- Enumerated
- 2010-04-05
- Last updated
- 2010-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.