Individual
MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 4-425, FAIRFAX, VA 22031-4512
(703) 289-7599
Mailing address
8221 WILLOW OAKS CORPORATE DR STE 4-425, FAIRFAX, VA 22031-4512
(703) 289-7599
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101262480
VA
Other
Enumeration date
03/24/2013
Last updated
11/27/2023
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