Individual
MATT MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 E 4500 S STE 140, MURRAY, UT 84107-4012
(801) 380-9921
Mailing address
1585 W VIVANTE WAY, WEST VALLEY CITY, UT 84119-8202
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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