Dr. Judith S Moore, DO
Family Medicine in Midway, UT. Individual provider (NPI-1).
NPI number1659443539
StatusActive
Last updated in NPPESDec 21, 2011
Details
- NPI
- 1659443539
- Entity type
- Individual (NPI-1)
- Name
- Dr. Judith S Moore
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2006
- Last updated
- Dec 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 180388-1204 | UT | Yes |
Practice location
210 E Main StSte 101
Midway, UT 84049-6806
Phone 435-657-1777 · Fax 435-657-0098
Mailing address
210 E Main StSte 101
Midway, UT 84049-6806
Phone 435-657-1777 · Fax 435-657-0098
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