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Individual

DR. MORIAH SUSANNE KRASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3580
(540) 772-3785
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3580
(540) 772-3785

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101240230
VA
208000000X
Pediatrics Physician
Primary
0101240230
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265513683
VA
Enumeration date
10/19/2006
Last updated
09/21/2012
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