Organization
DIAMOND SPRINGS WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH S MOORE D.O. (OWNER)
(435) 657-1777
Entity
Organization
Contact information
Practice address
210 E MAIN ST, SUITE 101, MIDWAY, UT 84049-6806
(435) 657-1777
(435) 657-0098
Mailing address
210 E MAIN ST, SUITE 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
01/28/2011
Last updated
01/28/2011
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