Dr. Richard E Moore, MD
Orthopaedic Surgery in Boise, ID. Individual provider (NPI-1).
NPI number1679519367
StatusActive
Last updated in NPPESApr 7, 2015
Details
- NPI
- 1679519367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard E Moore
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2006
- Last updated
- Apr 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | M5456 | ID | Yes |
| 207XS0114X | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | M5456 | ID |
Practice location
6156 W Emerald StreetBoise, ID 83704-8613
Phone 208-377-0777 · Fax 208-377-1070
Mailing address
3340 E Goldstone WayMeridian, ID 83642-1026
Phone 208-377-0777 · Fax 208-377-1070
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All 72 Orthopaedic Surgery Physician providers in Boise · All 12,265 providers in Boise
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