Glen L Moore is a Surgery in Chesapeake, Virginia. Glen L Moore practices all healthcare services and medical treatments related to Surgery. The NPI Number for Glen L Moore is 1265533046. The last update date is 2013-05-28.
Glen L Moore's current location address is 113 Gainsborough Sq, Chesapeake, Virginia. You can contact this provider via phone number 7578424499 and fax number 7578421447. The mailing address for Glen L Moore is 113 Gainsborough Sq, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen L Moore |
|---|---|
| Address | 113 Gainsborough Sq, Chesapeake, Virginia |
| Phone Number | 7578424499 |
| Fax Number | 7578421447 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265533046 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2013-05-28 |
Provider Mailing Address Detail
| Address | 113 Gainsborough Sq |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233201713 |
| Phone Number | 7578424499 |
| Fax Number | 7578421447 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 101044198 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the Glen L Moore's unique identification number?
The Glen L Moore has been assigned the NPI (National Provider Identifier) Number 1265533046 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Glen L Moore is located?
The Glen L Moore is situated at the following address: 113 Gainsborough Sq, Chesapeake, VA, 233201713.
What is Glen L Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Glen L Moore's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date did Glen L Moore receive its 1265533046 assignment from the Centers for Medicare & Medicaid Services?
The Glen L Moore was assigned its 1265533046 on 2006-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Glen L Moore's details last updated?
The information pertaining to the Glen L Moore, including its address, specialty, and other details, was most recently updated on 2013-05-28.
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