MICHAEL KIRK MOORE

IDAHO FALLS, ID
NPI1306064860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: ID  M-8270)
Enumeration Date2007-04-23
Last Update Date2023-03-07
Business Address
Dr. MICHAEL KIRK MOORE M.D., P.C.
2860 CHANNING WAY SUITE 213
IDAHO FALLS, ID 83404-7531
Phone number: 208-552-1406
Mailing Address
Dr. MICHAEL KIRK MOORE M.D., P.C.
PO BOX 1769
IDAHO FALLS, ID 83403-1769
Phone number: 208-552-1406