Individual
DR. DANIEL NATHAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9701 GAYTON RD STE 5, RICHMOND, VA 23238-4934
(540) 239-8179
Mailing address
9701 GAYTON RD STE 5, RICHMOND, VA 23238-4934
(540) 239-8179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101262896
VA
207Q00000X
Family Medicine Physician
0116028334
VA
Other
Enumeration date
06/10/2015
Last updated
06/01/2021
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