IAN MICHAEL MOORE

SALT LAKE CITY, UT
NPI1326518564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2018-11-30
Last Update Date2018-11-30
Business Address
IAN MICHAEL MOORE
1370 S WEST TEMPLE
SALT LAKE CITY, UT 84115-5218
Phone number: 801-664-2224
Mailing Address
IAN MICHAEL MOORE
2345 E CAMPUS DR
SALT LAKE CITY, UT 84121-3952
Phone number: 801-664-2224