Ian Moore

NPI 1326518564 · on the registry since 2018

Practice

Address: 1370 S West Temple
Salt Lake City, UT 84115
Phone: (801) 664-2224
Organisation at this address: Utah House
Sound Minds Llc
Path Behavioral Health
Saint Anthony'S Treatment House Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: 172V00000X
172V00000X
Also registered as: 171M00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah