Individual
DEVON MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 N CURTIS RD STE 100, BOISE, ID 83706-1339
(208) 378-0080
Mailing address
585 S WINTHROP WAY, BOISE, ID 83709-0012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57271
ID
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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