NPI 1992903769 BLAKE WALTER MOORE MD RICHMOND VA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Blake Walter Moore - NPI: 1992903769

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: BLAKE WALTER MOORE
NPI Number: 1992903769
Entity Type Code: Individual (1)
Gender: M
Credentials: MD
License Number: 0101256077
Business Practice Address: 9105 Stony Point Dr.
Richmond, VA - 23235
Business Phone Number: 8043309105
Business Fax Number: 8042876119
Mailing Address: 9105 Stony Point Dr.,
RICHMOND
State: VA
Postal Code: 23235
Phone Number: 8043309105
Fax Number: 8042876119
NPI Enumeration Date: 07/03/2007
NPI Last Update Date: 10/14/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208800000X
License Number: 0101256077
Healthcare Provider Taxonomy:
(Secondary)
Y
State: VA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Urology
Taxonomy Specialization:
Taxonomy Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


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