Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Owen Moore, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1821261918

Dr. Mark Owen Moore, MD is a Pathology in Boise, Idaho. Graduated from University of Washington School of Medicine in 2005, 21 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
21
Trained at
University of Washington School of Medicine
Licensed in
ID
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

999 N Curtis Rd Ste 117
Boise, ID 83706-1336
Phone: (208) 367-2155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence M-12018 (ID)

Record details

NPI number1821261918
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2008
Last updated in NPPESAugust 19, 2013
Mailing address990 E Winding Creek Dr, Eagle, ID 83616-7231

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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