Daniel Lewis Moore

NPI #1912519117 in Vineyard, Utah

Provider Information

NPI Number
1912519117
Entity Type
Individual
Name
Daniel Lewis Moore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 19, 2020
Last Updated
Feb 23, 2022

Practice Location

Address
691 E 400 N, STE. 110
State
Utah
ZIP Code
84058-8405
Phone
(385) 203-0246

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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