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Contact Information

RICHARD E MOORE, MD
6156 W EMERALD STREET
BOISE, ID83704-8613
 Phone: 208-377-0777
 Fax: 208-377-1070
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RICHARD E MOORE · (Male)

NPI # 1679519367
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2006
Last updated 04/07/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # M5456
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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