Moore, Dominic

Moore, Dominic is an individual health care provider with primary practice located at 100 Mario Capecchi Dr , Salt Lake City UT 84113-1103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Moore, Dominic can be contacted via phone (801) 662-3645.

Contact Information

Primary practice address
100 Mario Capecchi Dr Salt Lake City UT 84113-1103
Phone: (801) 662-3645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8598327-1205 Utah
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X 8598327-1205 Utah

Profile Details

NPI number 1265766026
LBN Legal business name Moore, Dominic
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2009
Last updated Nov 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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