| Dr Michael Kirk Moore Jr, MD, PC | |
|
2860 Channing Way, Suite 213, Idaho Falls, ID 83404-7531 | |
| (208) 552-1406 | |
| (208) 552-1416 |
| Full Name | Dr Michael Kirk Moore Jr |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 2860 Channing Way, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306064860 | NPI | - | NPPES |
| M-8270 | Other | ID | MEDICAL LICENSE, ID |
| 5959620-1205 | Other | UT | UT MEDICAL LICENSE |
| 58MKM02 | Other | WY | WY ST BOARD OF PHARMACY |
| 5959620-8905 | Other | UT | UT ST BOARD OF PHARMACY |
| 6687A | Other | WY | WY MEDICAL LICENSE |
| CS9201 | Other | ID | ID ST BOARD OF PHARMACY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | M-8270 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Kirk Moore Jr, MD, PC Po Box 1769, Idaho Falls, ID 83403-1769 Ph: (208) 552-1406 | Dr Michael Kirk Moore Jr, MD, PC 2860 Channing Way, Suite 213, Idaho Falls, ID 83404-7531 Ph: (208) 552-1406 |
Warren E Albrecht, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2985 Cortez Ave Ste 200, Idaho Falls, ID 83404 Phone: 208-528-1000 Fax: 208-528-1900 | |
Brad D Smith, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2805 Valencia Dr, Idaho Falls, ID 83404 Phone: 208-552-3184 Fax: 208-525-6151 | |
Dr. Gregory R. Hodson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2225 Teton Plz, Ste B, Idaho Falls, ID 83404 Phone: 208-524-4660 Fax: 208-524-4617 | |
Chaheyla St Aubin, DO Surgery Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-4000 | |
Dr. John Garth Oliver Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2327 Coronado St Fl 2, Idaho Falls, ID 83404 Phone: 208-528-1750 | |
Bruce James Watkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3369 Merlin Dr Ste B, Idaho Falls, ID 83404 Phone: 844-919-4263 Fax: 833-513-0980 |