Christopher Al Moreno in Lewiston - Surgery

Christopher Al Moreno - NPI 1275589905

Christopher Al Moreno is a Surgery in Lewiston, Idaho. Christopher Al Moreno practices all healthcare services and medical treatments related to Surgery. The NPI Number for Christopher Al Moreno is 1275589905. The last update date is 2007-09-20.

Christopher Al Moreno's current location address is 307 St. Johns Way, Lewiston, Idaho. You can contact this provider via phone number 2087437612 and fax number 2087464802. The mailing address for Christopher Al Moreno is 307 St. Johns Way, Lewiston, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher Al Moreno
Address 307 St. Johns Way, Lewiston, Idaho
Phone Number 2087437612
Fax Number 2087464802
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1275589905
Provider Enumeration Date 2006-05-25
Last Updated Date 2007-09-20

Provider Mailing Address Detail

Address 307 St. Johns Way
City Lewiston
State Idaho (ID)
Post Code 83501
Phone Number 2087437612
Fax Number 2087464802

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No M5071
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10002753 ID REGENCE BLUE SHIELD OF ID
D0782 ID BLUE CROSS OF IDAHO
8909565 WA WA CRIME VICTIMS PROGRAM
1021856 WA --
2599100 ID --
96144 WA WA LABOR & INDUSTRY
20006062 RAILROAD MEDICARE
82040040083501A ID TRICARE/TRI WEST

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FAQs about Christopher Al Moreno

What is the unique 10-digit identifier code issued to Christopher Al Moreno by the Centers for Medicare & Medicaid Services?

The Christopher Al Moreno has been assigned the NPI (National Provider Identifier) 1275589905 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Christopher Al Moreno is physically located?

The Christopher Al Moreno is physically situated at the following address: 307 St. Johns Way, Lewiston, ID, 83501.

What is Christopher Al Moreno's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Christopher Al Moreno is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1275589905 to Christopher Al Moreno?

The Centers for Medicare & Medicaid Services originally issued the 1275589905 to Christopher Al Moreno on 2006-05-25.

As of what date were the Christopher Al Moreno's details last updated?

The information pertaining to the Christopher Al Moreno, including its address, specialty, and other details, was most recently updated on 2007-09-20.

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