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Dr. Blake E Moore, MD
Orthopedic Surgery Physician in Virginia Beach, Virginia
NPI 1326215518

Blake E Moore is a Orthopedic Surgery Physician based in Virginia Beach, VA. Blake E Moore practices in Virginia Beach, VA and has the professional credentials of MD. The NPI Number for Blake E Moore is 1326215518 and holds a License No. UID441344 (Virginia).

The current practice location address for Blake E Moore is 1975 Glenn Mitchell Dr Ste 200, Virginia Beach, VA and can be reached out via phone at 757-321-3300 and via fax at 757-321-3330.

Location: 1975 Glenn Mitchell Dr Ste 200, Virginia Beach, VA, 23462-1832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326215518
Provider Name
Blake E Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1975 Glenn Mitchell Dr Ste 200, Virginia Beach, VA, 23462-1832
Phone Number
757-321-3300
Fax Number
757-321-3330
Provider Enumeration Date
05/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C05501 01 VA MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
1975 Glenn Mitchell Dr Ste 200
City
Virginia Beach
State
Virginia
Zip
23456-0167
Phone Number
757-321-3300
Fax Number
757-321-3330
person
Provider Business Mailing Address Details
Address
1975 Glenn Mitchell Dr Ste 200
City
Virginia Beach
State
Virginia
Zip
23456-0167
Phone Number
757-321-3300
Fax Number
757-321-3330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
0101255929 (Virginia)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
207XX0004X
License No.
UID441344 (Pennsylvania)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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