Individual
DR. RUSTY A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
544 S 400 E, 5TH FLOOR, ST GEORGE, UT 84770-3705
(435) 688-4700
(435) 688-4326
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
76978781204
UT
Other
Enumeration date
12/28/2005
Last updated
05/29/2012
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