Individual
DR. JAMES A MOORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2602 BUFORD RD, RICHMOND, VA 23235-3422
(807) 272-8806
(804) 272-2909
Mailing address
2602 BUFORD RD, RICHMOND, VA 23235-3422
(804) 272-8806
(804) 272-2909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101231646
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101231646
STATE MEDICAL LICENSE
VA
Enumeration date
07/03/2006
Last updated
07/16/2007
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