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Individual

FRANCIS BRYCE MOSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-2600
(208) 785-8185
Mailing address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 785-2600
(208) 785-8182

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
O-312
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010143145
REGENCE BLUE SHIELD
ID
01
313054
ALTIUS
ID
05
806641400
ID
01
S5593
BLUE CROSS OLD
ID
Enumeration date
05/03/2006
Last updated
07/06/2009
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