Individual
MR. JOSEPH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1850 POCAHONTAS TRL, QUINTON, VA 23141-1657
(804) 932-4388
(804) 932-9860
Mailing address
1850 POCAHONTAS TRL, QUINTON, VA 23141-1657
(804) 932-4388
(804) 966-9860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840202
VA
Other
Enumeration date
07/05/2005
Last updated
07/15/2015
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