NPI 1003858465
Darryl G Moffett, MD
Practice location
- Address
- 3544 E 17th St Suite 105, Ammon, ID 83406-6911
- Phone
- (208) 535-4900
- Fax
- (208) 535-4906
Registered specialties
Ophthalmology Physician
Primary
Registry record
- NPI
- 1003858465
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jun 2006
- Record last updated
- 13 Aug 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.