Darrel L Mooney
Prosthodontist
314 W Bannock St
Boise
, Idaho 83702-6032
Darrel L Mooney
Prosthodontist
314 W Bannock St
Boise
, Idaho 83702-6032
(208) 387-1951
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Darrel L Mooney
- 314 W Bannock St
- Boise, ID
- Zip : 83702-6032
- Fax : (208) 387-1951
- Phone : (208) 336-9333
Second Address
- Darrel L Mooney
- 314 W Bannock St
- Boise, ID
- Zip : 83702-6032
- Fax : (208) 387-1951
- Phone : (208) 336-9333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | D1650PR | ID |
National Provider Identifier
| NPI | 1144232869 |
|---|---|
| Provider Name | Darrel L Mooney |
| First Address | Boise, ID 83702-6032 |
| Second Address | Boise, ID 83702-6032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.