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

Mr. John Douglas Moore, DIVEIDC

Individual provider Independent Duty Corpsman · NPI 1851841449

Mr. John Douglas Moore, DIVEIDC is an Independent Duty Corpsman in Virginia Beach, Virginia. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1004 Hermitage Rd Bldg 1014
Virginia Beach, VA 23459-9100
Phone: (757) 462-3178
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1851841449
Entity typeIndividual (Type 1)
GenderMale
Credentials DIVEIDC
Sole proprietorNo
NPI enumeratedOctober 7, 2016
Last updated in NPPESOctober 7, 2016

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