Moore, Timothy Richard

Moore, Timothy Richard is an individual health care provider with primary practice located at 500 W. Fort St. #111, Boise ID 83702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Moore, Timothy Richard can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W. Fort St. #111 Boise ID 83702
Phone: (208) 422-1000
Fax: (208) 422-1319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X M-12911 Idaho
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M-12911 Idaho
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M0189 Texas

Profile Details

NPI number 1124064423
LBN Legal business name Moore, Timothy Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Feb 15th, 2022 - about 2 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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