Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clen Damon Moore, MD

Individual provider Pediatrics Physician · NPI 1710982640

Clen Damon Moore, MD is a Pediatrics Physician in Sterling, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

46440 Benedict Dr Ste 207
Sterling, VA 20164-6602
Phone: (703) 444-2100
Fax: (703) 444-0386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101056399 (VA)

Record details

NPI number1710982640
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESMarch 29, 2011
Mailing addressPo Box 17334, Baltimore, MD 21297-1334

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