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1306064860
MICHAEL KIRK MOORE
IDAHO FALLS, ID
NPI
1306064860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: ID M-8270)
Enumeration Date
2007-04-23
Last Update Date
2023-03-07
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
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Mailing Address
Dr. MICHAEL KIRK MOORE M.D., P.C.
PO BOX 1769
IDAHO FALLS, ID 83403-1769
Phone number: 208-552-1406
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