Individual
MOISES TERRAZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5171 S COTTONWOOD ST STE 210, MURRAY, UT 84107-5718
(801) 507-3380
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12168363-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2019
Last updated
03/11/2026
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