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Search › Idaho › 2083A0100X

Randall Moore, M.D., M.P.H., C.P.E

NPI 1992780597 · on the registry since 2005 · sole proprietor

Practice

Address
366mdg/Sgpf
90 Hope Drive; Bldg 6000
Mountain Home Afb, ID 83648
Phone
(208) 828-7401

Additional practice sites

  • 1129 Rim Drive, Mccall, ID

Registry record

Primary taxonomy
2083A0100X
2083A0100X
Also registered as
2083A0100X
2083A0100X
Licence states on file
MT, AZ, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-29

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