Whalio Doctors

NPI 1023094901

Monte H Moore, MD

Practitioner Physical Medicine & Rehabilitation Physician Boise, ID

Practice location

Address
600 Robbins Rd Suite #300, Boise, ID 83702-4565
Phone
(208) 489-4016
Fax
(208) 489-4015

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence M6331 (ID)

Registry record

NPI
1023094901
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Dec 2005
Record last updated
31 Jan 2012

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.