Individual
DR. DENNIS J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1739 W SUNSET BLVD, ST GEORGE, UT 84770-7141
(435) 634-6012
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 634-6012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
751580231205
UT
Other
Enumeration date
07/17/2006
Last updated
07/31/2008
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