Moore, Mark Owen
Moore, Mark Owen is an individual health care provider with primary practice located at 999 N Curtis Rd Suite 117, Boise ID 83706-1336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Moore, Mark Owen can be contacted via phone (208) 367-2155.Contact Information
Primary practice address
999 N Curtis Rd Suite 117
Boise ID 83706-1336
Phone: (208) 367-2155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | M-12018 | Idaho |
Profile Details
| NPI number | 1821261918 |
|---|---|
| LBN Legal business name | Moore, Mark Owen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2008 |
| Last updated | Aug 19th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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