Moore Clinic INC

NPI #1386997393 in Moore, Idaho

Provider Information

NPI Number: 1386997393
Entity Type: Organization
Organization Name: Moore Clinic INC
Primary Specialty: Family Medicine
Enumeration Date: Oct 16, 2012
Last Updated: May 23, 2013

Practice Location

Address: 3162 N 3350 W
City: Moore
State: Idaho
ZIP Code: 83255
Phone: (208) 554-4000

Authorized Official

Name: MS. GAIL S FORD, D.O.
Title: OWNER
Phone: (208) 554-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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