Individual provider · Type 1 NPI

Timothy Richard Moore, MD

Cardiovascular Disease Physician · Boise, ID

NPI number 1124064423 Active

Practice location

500 W. Fort St., #111
Boise, ID 83702

Call (208) 422-1000 Map

Fax (208) 422-1319

Mailing address

500 W Fort St # 111
Boise, ID 83702-4501

Specialties and licenses

TaxonomyCodeLicense
Interventional Cardiology Physician 207RI0011XM-12911 (ID)
Cardiovascular Disease Physician Primary 207RC0000XM-12911 (ID)
Cardiovascular Disease Physician 207RC0000XM0189 (TX)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1124064423

Timothy Richard Moore, MD's National Provider Identifier is 1124064423, issued on Jun 22, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Boise, ID. The record was last updated on Feb 15, 2022.