person
Blake Walter Moore, MD
Urology Physician in Richmond, Virginia
NPI 1992903769

Blake Walter Moore is a Urology Physician based in Richmond, VA. Blake Walter Moore practices in Richmond, VA and has the professional credentials of MD. The NPI Number for Blake Walter Moore is 1992903769 and holds a License No. 0101256077 (Virginia).

The current practice location address for Blake Walter Moore is 9101 Stony Point Dr., Richmond, VA and can be reached out via phone at 804-330-9105 and via fax at 804-287-6119.

Location: 9101 Stony Point Dr., Richmond, VA, 23235
person
Provider Profile Details
NPI Number
1992903769
Provider Name
Blake Walter Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9101 Stony Point Dr., Richmond, VA, 23235
Phone Number
804-330-9105
Fax Number
804-287-6119
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992903769 01 VA HEALTH NET FEDERAL SERVICES
1992903769 01 VA VA HEALTH NETWORK
1992903769 05 VA
1992903769 01 VA HUMANA CHOICE CARE
1992903769 01 VA ANTHEM BCBS VA
1992903769 01 VA OPTIMA
1992903769 01 VA SOUTHERN HEALTHCARE/COVENTRY
5604405 01 VA CIGNA
7505953 01 VA AETNA
1992903769 01 VA VA PREMIER
institution
Provider Business Practice Location Address Details
Address
9101 Stony Point Dr.
City
State
Zip
23235
Phone Number
804-330-9105
Fax Number
804-287-6119
person
Provider Business Mailing Address Details
Address
9101 Stony Point Dr.
City
State
Zip
23235
Phone Number
804-330-9105
Fax Number
804-287-6119
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
0101256077 (Virginia)
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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