NPI 1023099488
Trudy J Moore, MD
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
Diagnostic Radiology Physician
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.