Richard Charles Moore, M.D.

NPI #1457481343 in Hailey, Idaho

Provider Information

NPI Number: 1457481343
Entity Type: Individual
Name: Richard Charles Moore, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Mar 7, 2007
Last Updated: Oct 29, 2018

Practice Location

Address: 309 EAST SPRUCE
City: Hailey
State: Idaho
ZIP Code: 83333-3530
Phone: (208) 578-2089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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