Individual
DAVID NDIKUM MOFFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
(540) 981-7855
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001268324
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024184367
VA
367500000X
Certified Registered Nurse Anesthetist
137560
VA
Other
Enumeration date
05/11/2022
Last updated
03/13/2026
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