NPI age
20 years
Enumerated 2005-12-07
● Active
Type 1 · Individual
DR. Randall Jay Moore, M.D., M.P.H., C.P.E
Moore is 1 of 1 preventive medicine providers in Mountain Home Afb and 1 of 2 in Idaho.
Primary specialty
Preventive Medicine
Plus 2 subspecialties
Licensed in
ID, MT, AZ
3 states
Status
Active
No deactivations on record
Last NPPES update
2018-05-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 2 active preventive medicine providers in Idaho.
NPI age
20 years
↑ 2 yr above median (17 yr)
State licenses
3 states
Top 50% — 50% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Practice location
366mdg/sgpf, 90 Hope Drive; Bldg 6000
Mountain Home Afb, ID 83648
Mailing address
Po Box 1338
McCall, ID 836381338
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1129 Rim Drive
McCall, ID 83638
Specialties
-
Preventive Medicine PrimaryAerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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