IndividualActive
Christopher Moreno, M.D.
NPI 1275589905 · Surgery Physician · Lewiston, ID
Provider details
- NPI number
- 1275589905
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M5071 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
307 St. Johns Way
Suite 11
Lewiston, ID 83501
Phone: (208) 743-7612
Fax: (208) 746-4802
Approximate (ZIP-level) locationGet directions
Mailing address
307 St. Johns Way
Lewiston, ID 83501
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2007-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.