Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Moulton, MD

Individual provider General Practice Physician · NPI 1245869726

Andrew Moulton, MD is a General Practice Physician in St. Louis, Missouri. Licensed in Missouri and Virginia. Registered with an NPI since 2020.

Licensed in
MO, VA
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Childrens Pl Msc 8208-0016-01
St. Louis, MO 63110
Phone: (314) 454-2527
Fax: (314) 747-8880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2023011017 (MO)
General Practice Physician Taxonomy 208D00000X · Licence 0101273926 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245869726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address1 Childrens Pl, Msc 8208-0016-01, St. Louis, MO 63110

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