Individual
DR. JOSEPH ANDREW MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 DEWITT LOOP, FT BELVOIR, VA 22060-5285
(712) 315-3224
Mailing address
CENTRALIZED CREDENTIALS & PRIVILEGING, 554 KEILY STREET, JACKSONVILLE, FL 32212-3049
(757) 953-7550
(757) 953-0090
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101270173
VA
207L00000X
Anesthesiology Physician
Primary
0101270173
VA
Other
Enumeration date
03/16/2016
Last updated
07/05/2023
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