Richard E. Moore, M.d.

NPI #1124221247 in Boise, Idaho

Provider Information

NPI Number: 1124221247
Entity Type: Organization
Organization Name: Richard E. Moore, M.d.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jun 6, 2007
Last Updated: Jul 6, 2010

Practice Location

Address: 6500 W EMERALD ST
City: Boise
State: Idaho
ZIP Code: 83704-8736
Phone: (208) 377-0777

Authorized Official

Name: DR. RICHARD MOORE, M.D.
Title: M.D.
Phone: (208) 377-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary
Physician Assistant	363A00000X

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