DEREK MOOS

SYRACUSE, UT
NPI1104658749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: UT  6586693-4405)
Enumeration Date2024-08-14
Last Update Date2024-08-14
Business Address
DEREK MOOS AGPCNP-BC
2977 WEST 2600 SOUTH
SYRACUSE, UT 84075
Phone number: 801-682-6170
Mailing Address
DEREK MOOS AGPCNP-BC
2977 WEST 2600 SOUTH
SYRACUSE, UT 84075
Phone number: 801-682-6170