Moore Clinic Inc | |
3162 N 3350 W Moore ID 83255 | |
(208) 554-4000 | |
(208) 554-4001 |
Full Name | Moore Clinic Inc |
---|---|
Speciality | Family Medicine |
Location | 3162 N 3350 W, Moore, Idaho |
Authorized Official Name and Position | Gail S Ford (OWNER) |
Authorized Official Contact | 2085544000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Moore Clinic Inc Po Box 465 Moore ID 83255-0465 Ph: (208) 554-4000 | Moore Clinic Inc 3162 N 3350 W Moore ID 83255 Ph: (208) 554-4000 |
NPI Number | 1386997393 |
---|---|
Provider Enumeration Date | 10/16/2012 |
Last Update Date | 05/23/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386997393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |