Individual
CHRISTOPHER AL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 ST. JOHNS WAY, SUITE 11, LEWISTON, ID 83501
(208) 743-7612
(208) 746-4802
Mailing address
307 ST. JOHNS WAY, SUITE 11, LEWISTON, ID 83501
(208) 743-7612
(208) 746-4802
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M5071
ID
208600000X
Surgery Physician
MD00024021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010002753
REGENCE BLUE SHIELD OF ID
ID
05
—
002599100
—
ID
01
—
0096144
WA LABOR & INDUSTRY
WA
01
—
020006062
RAILROAD MEDICARE
—
05
—
1021856
—
WA
01
—
82040040083501A003
TRICARE/TRI WEST
ID
01
—
8909565
WA CRIME VICTIMS PROGRAM
WA
01
—
D0782
BLUE CROSS OF IDAHO
ID
Enumeration date
05/25/2006
Last updated
09/20/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us