Whalio Doctors

NPI 1023099488

Trudy J Moore, MD

Practitioner Diagnostic Radiology Physician Eden Prairie, MN

Practice location

Address
11995 Singletree Ln STE 500, Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903

Registered specialties (2)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 16333 (OK)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence C-5845 (AR)

Registry record

NPI
1023099488
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Nov 2005
Record last updated
25 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.