IndividualActive
Randall Moore, M.D., M.P.H., C.P.E
NPI 1992780597 · Aerospace Medicine Physician · Mountain Home Afb, ID
Provider details
- NPI number
- 1992780597
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., M.P.H., C.P.E
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4463 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
366mdg/Sgpf
90 Hope Drive; Bldg 6000
Mountain Home Afb, ID 83648
Phone: (208) 828-7401
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1338
Mccall, ID 83638-1338
Additional practice locations (1)
- 1129 Rim DriveMccall, ID 83638Phone: (808) 772-0871
Registry dates
- Enumerated
- 2005-12-07
- Last updated
- 2018-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.