DR. Randall Jay Moore, M.D., M.P.H., C.P.E
NPI #1992780597 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1992780597
- Entity Type
- Individual
- Name
- DR. Randall Jay Moore, M.D., M.P.H., C.P.E
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Preventive Medicine - Aerospace Medicine
- Credential
- M.D., M.P.H., C.P.E
- Enumeration Date
- Dec 7, 2005
- Last Updated
- May 29, 2018
Practice Location
- Address
- 366MDG/SGPF
- Address 2
- 90 HOPE DRIVE; BLDG 6000
- State
- Idaho
- ZIP Code
- 83648
- Phone
- (208) 828-7401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Aerospace Medicine — Aerospace Medicine |
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