SearchIdahoPlastic and Reconstructive Surgery Physician

Michael Moore, M.D., P.C

NPI 1306064860 · on the registry since 2007 · sole proprietor

Practice

Address
2860 Channing Way
Suite 213
Idaho Falls, ID 83404
Phone
(208) 552-1406
Fax
(208) 552-1416
Organisation at this address
William Wilson Md Pc
Teton Plastic Surgery
R.K. Arbon, M.D., P.A.
Aesthetic Concepts Llc
Mueller Care Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
Plastic and Reconstructive Surgery Physician
2086S0122X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho