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

Dr. Randall Jay Moore, MD, MPH, CPE

Individual provider Aerospace Medicine Physician · NPI 1992780597

Dr. Randall Jay Moore, MD, MPH, CPE is an Aerospace Medicine Physician in Mountain Home AFB, Idaho. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona, Idaho and Montana.

Licensed in
AZ, ID, MT
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

See every abbreviation used in this directory →

Practice location Address checks out

366MDG/SGPF 90 Hope Drive; Bldg 6000
Mountain Home AFB, ID 83648
Phone: (208) 828-7401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1129 Rim Drive, McCall, ID 83638 — (808) 772-0871

Specialties & licences

Aerospace Medicine Physician (primary) Taxonomy 2083A0100X · Licence M-4332 (ID)
Aerospace Medicine Physician Taxonomy 2083A0100X · Licence 4463 (MT)
Aerospace Medicine Physician Taxonomy 2083A0100X · Licence 17958 (AZ)

Record details

NPI number1992780597
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH , CPE
Sole proprietorYes
NPI enumeratedDecember 7, 2005
Last updated in NPPESMay 29, 2018

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