Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL KIRK MOORE JR., M.D., P.C.
Active Sole ProprietorPlastic and Reconstructive Surgery · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1306064860
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2007 (19.038083320458 yrs)
- Last Updated
- Mar 7, 2023
- License
-
M-8270 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2860 CHANNING WAYSUITE 213IDAHO FALLS, ID, 834047531Browse ID providers · Browse ZIP 83404
- Phone
- 2085521406
- Fax
- 2085521416
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CATHERINE ELIZABETH DURBORAW | M.D. | 1649360728 |
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.