Individual
RICHARD HENNING MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HOSPITAL DR, GALAX, VA 24333-2227
(276) 236-8181
Mailing address
406 ALGONQUIN CT, BLACKSBURG, VA 24060-7871
(540) 392-5222
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101037610
VA
Other
Enumeration date
06/29/2006
Last updated
12/10/2015
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