| Christopher Al Moreno, MD | |
|
307 St. Johns Way, Suite 11, Lewiston, ID 83501 | |
| (208) 743-7612 | |
| (208) 746-4802 |
| Full Name | Christopher Al Moreno |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 307 St. Johns Way, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275589905 | NPI | - | NPPES |
| 000010002753 | Other | ID | REGENCE BLUE SHIELD OF ID |
| D0782 | Other | ID | BLUE CROSS OF IDAHO |
| 8909565 | Other | WA | WA CRIME VICTIMS PROGRAM |
| 1021856 | Medicaid | WA | |
| 002599100 | Medicaid | ID | |
| 0096144 | Other | WA | WA LABOR & INDUSTRY |
| 020006062 | Other | RAILROAD MEDICARE | |
| 82040040083501A003 | Other | ID | TRICARE/TRI WEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | M5071 (Idaho) | Primary |
| 208600000X | Surgery | MD00024021 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Al Moreno, MD 307 St. Johns Way, Suite 11, Lewiston, ID 83501 Ph: (208) 743-7612 | Christopher Al Moreno, MD 307 St. Johns Way, Suite 11, Lewiston, ID 83501 Ph: (208) 743-7612 |
Barry A. Smith, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 307 Saint Johns Way Ste 4, Lewiston, ID 83501 Phone: 208-743-7612 | |
Sheila G Garvey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-7612 | |
Dr. Rachael L Armstrong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Dr. Talmadge Clifford Caviness, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 415 6th St, Valley Anesthesia, Lewiston, ID 83501 Phone: 208-743-2511 | |
Dr. Brian Arthur Hoffmann, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-746-1383 Fax: 208-746-6348 | |
Dr. Scott Allan Gardner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St, Lewiston, ID 83501 Phone: 208-298-9030 |