MATT TOWNSEND MOORE

BOISE, ID
NPI1598939613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: AZ  79292)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: ID  M-11266)
2085R0202X Radiology, Diagnostic Radiology
(Licence: OR  MD153978)
Enumeration Date2008-04-18
Last Update Date2011-10-14
Business Address
-- MATT TOWNSEND MOORE MD
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2161
Mailing Address
-- MATT TOWNSEND MOORE MD
PO BOX 9649
BOISE, ID 83707-4649
Phone number: 208-472-8100