IndividualActive
Mark Moore, M.D.
NPI 1821261918 · Anatomic Pathology & Clinical Pathology Physician · Boise, ID
Provider details
- NPI number
- 1821261918
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M-12018 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
999 N Curtis Rd
Suite 117
Boise, ID 83706-1336
Phone: (208) 367-2155
Approximate (ZIP-level) locationGet directions
Mailing address
990 E Winding Creek Dr
Eagle, ID 83616-7231
Registry dates
- Enumerated
- 2008-04-09
- Last updated
- 2013-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.