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1821261918
MARK OWEN MOORE
BOISE, ID
NPI
1821261918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: ID M-12018)
Enumeration Date
2008-04-09
Last Update Date
2013-08-19
Business Address
DR. MARK OWEN MOORE M.D.
999 N CURTIS RD SUITE 117
BOISE, ID 83706-1336
Phone number: 208-367-2155
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Mailing Address
DR. MARK OWEN MOORE M.D.
990 E WINDING CREEK DR
EAGLE, ID 83616-7231
Phone number: 303-587-7090
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