JOHN DOUGLAS MOORE

VIRGINIA BEACH, VA
NPI1851841449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2016-10-07
Last Update Date2016-10-07
Business Address
Mr. JOHN DOUGLAS MOORE DIVE IDC
1004 HERMITAGE RD BLDG 1014
VIRGINIA BEACH, VA 23459-9100
Phone number: 757-462-3178
Mailing Address
Mr. JOHN DOUGLAS MOORE DIVE IDC
1004 HERMITAGE RD BLDG 1014
VIRGINIA BEACH, VA 23459-9100
Phone number: 757-462-3178