Whalio Doctors

NPI 1003858465

Darryl G Moffett, MD

Practitioner Ophthalmology Physician Ammon, ID

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
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M-6263 (ID)

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.