MR. Thomas Glennon Moore, IDMT

NPI #1851525026 in Hill Afb, Utah

Provider Information

NPI Number
1851525026
Entity Type
Individual
Name
MR. Thomas Glennon Moore, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
May 4, 2009
Last Updated
May 4, 2009

Practice Location

Address
6475 WARRIOR WAY
Address 2
BLDG. 1938
State
Utah
ZIP Code
84056-5974
Phone
(801) 777-0658

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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