-- JON MOORE AGEE M.D.
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1710941026- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 404 E ELM ST, CALDWELL, ID, 836054846
- Phone
- (208) 459-0028
- Fax
- (208) 459-0380
Specialties & Taxonomies
Surgery
Primary License: ID #M-5972
All Addresses
MAILING
PO BOX 742941
ATLANTA, GA, 303742941