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NPI Code Detail

MEDICARE: DR. GABRIEL ELI MOREY MD MPH

MEDICARE: DR. GABRIEL ELI MOREY MD MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZD0900XDermatopathology (Pathology) PhysicianM-15342ID
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianM-15342ID

General Provider Information

NPI Number : 1639563547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIEL ELI MOREY MD MPH
Provider Business Mailing Address
First Line : 155 E 50TH ST
Second Line :
City : GARDEN CITY
State : ID
Zip : 83714-1413
Country : US
Telephone Number : 208-609-3812
Fax Number :
Provider Business Practice Location Address
First Line : 155 E 50TH ST
Second Line :
City : GARDEN CITY
State : ID
Zip : 83714-1413
Country : US
Telephone Number : 208-609-3812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2015
Last Update Date : 10/19/2023

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