# DIAMOND SPRINGS WELLNESS CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780980391
- **Authorized official:** DR. JUDITH S MOORE D.O. (OWNER)
- **Authorized official phone:** (435) 657-1777

## Contact information

- **Practice address:** 210 E MAIN ST, SUITE 101, MIDWAY, UT 84049-6806
- **Practice address phone:** (435) 657-1777
- **Practice address fax:** (435) 657-0098
- **Mailing address:** 210 E MAIN ST, SUITE 101, MIDWAY, UT 84049-6806
- **Mailing address phone:** (435) 657-1777
- **Mailing address fax:** (435) 657-0098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 180388-1204 | UT | Yes |

## Other

- **Enumeration date:** 01/28/2011
- **Last updated:** 01/28/2011