Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DARRYL G MOFFETT JR., M.D.
Active Sole ProprietorOphthalmology · AMMON, ID
Registration Details
- NPI Number
- 1003858465
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2006 (19.87867601535 yrs)
- Last Updated
- Aug 13, 2015
- License
-
M-6263 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3544 E 17TH STSUITE 105AMMON, ID, 834066911Browse ID providers · Browse ZIP 83406
- Phone
- 2085354900
- Fax
- 2085354906
- Primary Specialty
-
Ophthalmology
207W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.