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1528696358
BENJAMIN J. MOODY
SALT LAKE CITY, UT
NPI
1528696358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: UT 12407597-1205)
Enumeration Date
2020-03-28
Last Update Date
2021-09-15
Business Address
BENJAMIN J. MOODY MD
30 N 1900 E # 1C026
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-2417
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Mailing Address
BENJAMIN J. MOODY MD
30 N 1900 E # 1C026
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-2417
Copy
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