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1386904043
DAVID EARL MOORE
SALT LAKE CITY, UT
NPI
1386904043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: UT 167705-1205)
Enumeration Date
2012-05-29
Last Update Date
2012-05-29
Business Address
-- DAVID EARL MOORE MD
500 FOOTHILL BLVD (RESEARCH) GEORGE E. WAHLEN VA HEALTHCARE SYSTEM
SALT LAKE CITY, UT 84148
Phone number: 801-582-1565
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Mailing Address
-- DAVID EARL MOORE MD
4875 S 1710 E
HOLLADAY, UT 84117-5911
Phone number: 435-632-3647
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