Clen Damon Moore, MD

NPI #1710982640 in Sterling, Virginia

Provider Information

NPI Number: 1710982640
Entity Type: Individual
Name: Clen Damon Moore, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jun 16, 2005
Last Updated: Mar 29, 2011

Practice Location

Address: 46440 BENEDICT DR
Address 2: STE 207
City: Sterling
State: Virginia
ZIP Code: 20164-6602
Phone: (703) 444-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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