Individual
DR. GREGORY P MOORE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 JAHNKE RD, SUITE 280, RICHMOND, VA 23225-4017
(804) 272-5508
(804) 323-7564
Mailing address
301 VIRGINIA ST, UNIT 1101, RICHMOND, VA 23219-4145
(804) 389-5000
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0101050166
VA
207VX0000X
Obstetrics Physician
0101050166
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006215572
—
VA
Enumeration date
01/03/2006
Last updated
09/13/2012
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