Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY RICHARD MOORE, MD
ActiveCardiovascular Disease · BOISE, ID
Registration Details
- NPI Number
- 1124064423
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (19.881931382448 yrs)
- Last Updated
- Feb 15, 2022
- Licenses
-
M-12911 (ID)M-12911 (ID)M0189 (TX)
Practice Information
- Address
-
500 W. FORT ST.#111BOISE, ID, 83702Browse ID providers · Browse ZIP 83702
- Phone
- 2084221000
- Fax
- 2084221319
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| J. ANTONIO G LOPEZ | M.D. | 1326011503 |
| DR. FREDERICK R. BADKE | M.D. | 1407814411 |
| DR. BLAZE SEKOVSKI | MD | 1770532988 |
| STEFANIE J FRY | MD | 1881649572 |
| SAMUAL BASS | MD | 1841234747 |
| ROBERT S LEE | MD | 1205871258 |
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.