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Individual

DR. ALVARO MORENO II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
1768 BUSINESS CENTER DR STE 100, RESTON, VA 20190-5359
(800) 762-9244
(786) 672-6006

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A147898
CA
2084P0800X
Psychiatry Physician
M-16878
ID
2084P0800X
Psychiatry Physician
Primary
P7517
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4666397245
MYUTMB 4666397245
Enumeration date
08/05/2007
Last updated
07/28/2025
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