Search › Idaho › 225XP0200X

Moriah Eagle

NPI 1184401044 · on the registry since 2023

Practice

Address
1350 Troy Rd
Moscow, ID 83843
Phone
(877) 456-1233
Organisation at this address
Idaho Dept Health And Welfare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 810 S Main St, Moscow, ID

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho