Michael Kirk Moore JR. is a Plastic and Reconstructive Surgery Physician based in Idaho Falls, ID and is specialized in Plastic and Reconstructive Surgery. Michael Kirk Moore JR. practices in Idaho Falls, ID and has the professional credentials of MD,PC. The NPI Number for Michael Kirk Moore JR. is 1306064860 and holds a License No. M-8270 (Idaho).
The current practice location address for Michael Kirk Moore JR. is 2860 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-552-1406 and via fax at 208-552-1416.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M-8270 | 01 | ID | MEDICAL LICENSE, ID |
| 5959620-1205 | 01 | UT | UT MEDICAL LICENSE |
| 58MKM02 | 01 | WY | WY ST BOARD OF PHARMACY |
| 5959620-8905 | 01 | UT | UT ST BOARD OF PHARMACY |
| 6687A | 01 | WY | WY MEDICAL LICENSE |
| CS9201 | 01 | ID | ID ST BOARD OF PHARMACY |
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