| 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 |