Mr. John Douglas Moore (DIVE IDC) is a health care provider specializes in Military Health Care Provider.
|Practice Location||1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100, US|
|Practice Location Phone||757-462-3178|
|Practice Location Fax|
|Specialty In||Military Health Care Provider|
|Enumeration Date ?||Oct 7, 2016|
|Last Update Date ?||Oct 7, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Military Health Care Provider||Other Service Providers||Independent Duty Corpsman|