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Individual

DR. JASON R MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2006 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
(540) 689-5800
(757) 431-7136
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 689-5800
(757) 431-7136

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2011-01858
NC
208600000X
Surgery Physician
29136
SC
2086S0129X
Vascular Surgery Physician
Primary
0101258172
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023037348
VA
Enumeration date
07/18/2006
Last updated
02/28/2023
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