Andrea Moore, O.D.

NPI #1679709042 in Sandpoint, Idaho

Provider Information

NPI Number
1679709042
Entity Type
Individual
Name
Andrea Moore, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
May 29, 2009
Last Updated
Jul 29, 2014

Practice Location

Address
710 SUPERIOR ST
Address 2
SUITE A
State
Idaho
ZIP Code
83864-1684
Phone
(208) 263-9000

Specialties & Taxonomy Codes

Specialty
Optometrist

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