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Individual

RUTH E. MORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9105 STONY POINT DR, RICHMOND, VA 23235-1999
(804) 521-8713
(804) 282-6567
Mailing address
4540 MOCKERNUT LN, EARLYSVILLE, VA 22936-9698
(434) 973-6449

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
0101049596
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7200579
VA
Enumeration date
01/17/2007
Last updated
10/21/2011
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