Individual
HAROLD GUY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1880 W JUDITH LANE, BOISE, ID 83705-5221
(208) 302-5200
(208) 302-5225
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-5200
(208) 302-5225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-12305
ID
Other
Enumeration date
01/12/2006
Last updated
11/07/2016
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