Individual
NATHANIEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 HEALTH CIR, LEXINGTON, VA 24450-2448
(540) 458-3300
Mailing address
4140 SHAW BLVD, WESTMINSTER, CO 80031-6918
(303) 917-4691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102205155
VA
Other
Enumeration date
03/24/2015
Last updated
11/21/2018
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