Organization
JSAPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MORAN DO (MEMBER)
(757) 461-3141
Entity
Organization
Contact information
Practice address
6275 E VIRGINIA BEACH BLVD STE 303, NORFOLK, VA 23502-2851
(757) 461-3141
(757) 461-1658
Mailing address
6275 E VIRGINIA BEACH BLVD STE 303, NORFOLK, VA 23502-2851
(757) 461-3141
(757) 461-1658
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
11/21/2023
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