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Search › Missouri › 207P00000X

Justin Moody, D.O

NPI 1639370489 · on the registry since 2007

Practice

Address
10010 Kennerly Rd
Saint Louis, MO 63128
Phone
(314) 525-1906
Organisation at this address
Cep America Llc
Cep America, Llc
E. Sutphen Md Llc
Serio Missouri Llc
Mercy Hospital South
Inferred from a shared address, not stated in the registry.
Clinicians at this address
372

Additional practice sites

  • 1000 E Cherry St, Troy, MO
  • 1400 Us Highway 61, Festus, MO
  • 615 S New Ballas Rd, Saint Louis, MO
  • 901 E 5th St, Washington, MO
  • 434 N West St, Perryville, MO

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207Q00000X
207P00000X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri