Individual
JILL C. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, GASTROENTEROLOGY DEPARTMENT, SALT LAKE CITY, UT 84132-0001
(801) 581-7804
Mailing address
50 N MEDICAL DR, GASTROENTEROLOGY DEPARTMENT, SALT LAKE CITY, UT 84132
(801) 581-7804
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
5806650-1205
UT
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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