Individual
SUSAN CAROL MOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
759 S MAIN ST, SUITE 300, WOODSTOCK, VA 22664-1127
(540) 459-1540
(540) 459-1486
Mailing address
136 LINDEN DR, SUITE 104, WINCHESTER, VA 22601-6900
(540) 678-3588
(540) 678-9025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0116017646
VA
Other
Enumeration date
07/16/2007
Last updated
10/30/2024
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