Individual
DR. RANDY E MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC RDMSCRMSK
Contact information
Practice address
758 W 100 S, HEBER CITY, UT 84032-3739
(513) 708-0585
(435) 915-7223
Mailing address
758 W 100 S, HEBER CITY, UT 84032-3739
(513) 708-0585
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
12108828-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12108828-1202
CHIROPRACTIC LICENSE
UT
Enumeration date
06/22/2021
Last updated
06/22/2021
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