Search › Idaho › 183700000X
Trent Moore
NPI 1790694255 · on the registry since 2026
Practice
- Address
- 4845 Yellowstone Ave
Chubbuck, ID 83202 - Phone
- (208) 237-2900
- Organisation at this address
- Smiths Food & Drug Centers Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-02
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