DR. M.D., P.C. Michael Kirk Moore JR., NPI 1306064860
Plastic and Reconstructive Surgery Physician in Idaho Falls, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1306064860 |
| NPI Entity Type | Individual |
| Provider Name | DR. M.D., P.C. Michael Kirk Moore JR. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2860 Channing Way, Suite 213, Idaho Falls, ID, US |
| Provider Mailing Address | Po Box 1769, Idaho Falls, ID, US, 834031769 |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Plastic and Reconstructive Surgery Physician |
| Classification | |
| Group | |
| License No. | M-8270 |
| License State | ID |
| Description | A surgeon who specializes in plastic and reconstructive surgery. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| M-8270 | ID | MEDICAL LICENSE, ID | 01 |
| 5959620-1205 | UT | UT MEDICAL LICENSE | 01 |
| BM4151849 | ID | DEA | 01 |
| 58MKM02 | WY | WY ST BOARD OF PHARMACY | 01 |
| 5959620-8905 | UT | UT ST BOARD OF PHARMACY | 01 |
| 6687A | WY | WY MEDICAL LICENSE | 01 |
| CS9201 | ID | ID ST BOARD OF PHARMACY | 01 |
Other Providers in ID, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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Canopy Behavioral Health, Pllc Organization |
2596 N Stokesberry Pl Ste 180 |
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MS Lucas Jay Hooker Individual |
136 S Academy Ave |
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Sight Partners Physicians, P.c. Organization |
2175 N Main St |
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Morgan Raye Horine Individual |
1301 E 17th St |
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DPT Scott Treat Individual |
3360 S 15th E |
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Landmark Medical Of Idaho Pc Organization |
322 E Front St Ste 400 |
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DR. D.C. Julie Lee Restad Individual |
1012 W Main St |
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MSOTR/L Michelle Leigh Dietz Individual |
7211 W Franklin Rd |
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MS. PA-C Ivy Meg Wilson Individual |
2893 S Cadet Pl |
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DR. PHARMD Victoria Emenari Individual |
4400 E Flamingo Ave |
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Shannon Finnegan Individual |
6051 W Emerald St |
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Mrc Llc Organization |
450 W State St Ste 270 |
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Bedside Xray Service Inc Organization |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
1110 N Five Mile Rd |
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Highland Physical Therapy Llc Organization |
1951 Bench Rd Suite E |
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|
Bruce W Hamerl O D P C Organization |
8300 W Overland Rd |
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|
Front Line Ems, Llc Organization |
575 Old Highway 30 |
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|
MRS. RPT Kimberly W Schwarze Individual |
1951 Bench Rd Suite E |
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|
PA-C Todd M Otstot Individual |
206 E Elm St |
||
|
PT, DPT Katherine Buschhorn Individual |
1951 Bench Rd Ste E |
||
|
Odyssey Healthcare Operating B, Lp Organization |
1230 Northwood Center Ct. Ste. B |
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