RYAN A MOORE

ALLIANCE MEDICAL GROUP LLC

Dr RYAN A MOORE is a male medical professional, specializing in Family Medicine. He graduated in 2006 from Loma Linda University School Of Medicine.

Contact

ALLIANCE MEDICAL GROUP LLC

435 S EAGLE RD
EAGLE
ID
836166067

Tel: 2089398222

RYAN A MOORE Information

Npi 1386664654
Pac Id 5991859142
Professional Enrollment Id I20090821000517
Last Name MOORE
First Name RYAN
Middle Name A
Suffix
Gender M
Credential
Medical School Name LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALLIANCE MEDICAL GROUP LLC
Group Practice Pac Id 3971544685
Number Of Group Practice Members 103
Line 1 Street Address 435 S EAGLE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAGLE
State ID
Zip Code 836166067
Phone Number 2089398222
Hospital Affiliation Ccn 1 130006
Hospital Affiliation Lbn 1 ST LUKE'S REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 130007
Hospital Affiliation Lbn 2 SAINT ALPHONSUS REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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