Individual
JAIME EAGLIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, DEPARTMENT OF OTOLARYNGOLOGY, RICHMOND, VA 23298-5051
(804) 628-4368
(804) 807-7951
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101254602
VA
Other
Enumeration date
07/03/2007
Last updated
07/19/2022
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