Brett Mooso, D.D.S.,M.S.,P.A

NPI 1902902208 · on the registry since 2006 · sole proprietor

Practice

Address: 1410 E 17th St
Idaho Falls, ID 83404
Phone: (208) 522-4552
Fax: (208) 522-4555
Organisation at this address: Evolution Chiropractic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223X0400X
1223X0400X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

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