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Organization

MOORE CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GAIL S FORD D.O. (OWNER)
(208) 554-4000
Entity
Organization

Contact information

Practice address
3162 N 3350 W, MOORE, ID 83255
(208) 554-4000
(208) 554-4001
Mailing address
PO BOX 465, MOORE, ID 83255-0465
(208) 554-4000
(208) 554-4001

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/16/2012
Last updated
05/23/2013
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