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John Douglas Moore (DIVE IDC)

Mr. John Douglas Moore (DIVE IDC) is a health care provider specializes in Military Health Care Provider.

profile-icon Basic Information

Practice Location 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100, US
Practice Location Phone757-462-3178
Practice Location Fax
GenderMale
Specialty InMilitary Health Care Provider
NPI ?1851841449
Entity TypeIndividual
Enumeration Date ? Oct 7, 2016
Last Update Date ? Oct 7, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of John Douglas Moore

SpecialtySpecializationLicenseLicense State
Military Health Care ProviderIndependent Duty Corpsman