DANIEL LEWIS MOORE

VINEYARD, UT
NPI1912519117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  8620638-4405)
Enumeration Date2020-08-19
Last Update Date2022-02-23
Business Address
DANIEL LEWIS MOORE
691 E 400 N, STE. 110
VINEYARD, UT 84058-8405
Phone number: 385-203-0246
Mailing Address
DANIEL LEWIS MOORE
PO BOX 912042
SAINT GEORGE, UT 84791-2042
Phone number: 435-215-0230
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