Individual
DR. JEFFREY LEE MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708
(757) 953-3270
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207L00000X
Anesthesiology Physician
Primary
DO1097
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
DO1097
AL
Other
Enumeration date
08/07/2008
Last updated
04/23/2024
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