Individual
DR. JUDITH S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
210 E MAIN ST, STE 101, MIDWAY, UT 84049-6806
(435) 657-1777
(435) 657-0098
Mailing address
210 E MAIN ST, STE 101, MIDWAY, UT 84049-6806
(435) 657-1777
(435) 657-0098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
180388-1204
UT
Other
Enumeration date
11/15/2006
Last updated
12/21/2011
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