DR. Michael Kirk Moore JR., M.D., P.C.

NPI #1306064860 in Idaho Falls, Idaho

Provider Information

NPI Number
1306064860
Entity Type
Individual
Name
DR. Michael Kirk Moore JR., M.D., P.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Credential
M.D., P.C.
Enumeration Date
Apr 23, 2007
Last Updated
Mar 7, 2023

Practice Location

Address
2860 CHANNING WAY
Address 2
SUITE 213
State
Idaho
ZIP Code
83404-7531
Phone
(208) 552-1406

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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