| Doctor Name: | DR. MICHAEL D'AMORE |
| NPI Number: | 1477870871 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101250166 |
| Business Practice Address: | 2200 Bergquist Dr Ste 1 Whmc/ge-2200 Jbsa Lackland, TX - 782369908 |
| Business Phone Number: | 2109168666 |
| Business Fax Number: | |
| Mailing Address: | 2200 Bergquist Dr Ste 1, Whmc/ge-2200 JBSA LACKLAND |
| State: | TX |
| Postal Code: | 782369908 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2010 |
| NPI Last Update Date: | 04/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101250166 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |