Individual
ANDREA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
710 SUPERIOR ST, SUITE A, SANDPOINT, ID 83864-1684
(208) 263-9000
(208) 263-9589
Mailing address
710 SUPERIOR ST, SUITE A, SANDPOINT, ID 83864-1684
(208) 263-9000
(208) 263-9589
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100265
ID
Other
Enumeration date
05/29/2009
Last updated
07/29/2014
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