Individual
SCOTT R MORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
984 FIRST COLONIAL RD, SUITE 302, VIRGINIA BEACH, VA 23454-3196
(757) 481-0385
(757) 481-6946
Mailing address
984 FIRST COLONIAL RD, SUITE 302, VIRGINIA BEACH, VA 23454-3196
(757) 481-0385
(757) 481-6946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101047881
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251590
ANTHEM BLUE SHIELD
VA
01
—
35153
OPTIMA
VA
05
—
6501818
—
VA
Enumeration date
10/16/2006
Last updated
07/08/2007
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