Whalio Doctors

NPI 1033403886

Christopher Paul Moore, CPO

Practitioner Prosthetist Coeur D Alene, ID

Practice location

Address
2204 Ironwood Pl Suite a, Coeur D Alene, ID 83814-2662
Phone
(208) 765-0597
Fax
(208) 765-0598

Registered specialties (2)

Prosthetist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS00000418 (WA)
Orthotist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OI00000417 (WA)

Registry record

NPI
1033403886
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jun 2011
Record last updated
8 Jun 2011

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.