Dr. Darryl G Moffett JR.
Ophthalmologist
3544 E 17th St Suite 105
Ammon
, Idaho 83406-6911
Dr. Darryl G Moffett JR.
Ophthalmologist
3544 E 17th St Suite 105
Ammon
, Idaho 83406-6911
(208) 535-4906
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Darryl G Moffett JR.
- 3544 E 17th St Suite 105
- Ammon, ID
- Zip : 83406-6911
- Fax : (208) 535-4906
- Phone : (208) 535-4900
Second Address
- Dr. Darryl G Moffett JR.
- 3544 E 17th St Suite 105
- Ammon, ID
- Zip : 83406-6911
- Fax : (208) 535-4906
- Phone : (208) 535-4900
Reviews
FAQs
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Is Dr. Darryl G Moffett JR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | M-6263 | ID |
National Provider Identifier
| NPI | 1003858465 |
|---|---|
| Provider Name | Dr. Darryl G Moffett JR. |
| First Address | Ammon, ID 83406-6911 |
| Second Address | Ammon, ID 83406-6911 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2006 |
| Last Update Date | 13/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002726100 | (05) | ID |
| E91684 | (02) | ID |
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.