Individual
MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
Mailing address
2121 N 1700 W, LAYTON, UT 84041-8803
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
6517718-1204
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R2383
AZ
Other
Enumeration date
07/23/2014
Last updated
01/12/2026
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