IndividualActive
Dominic Moore, M.D.
NPI 1265766026 · Pediatric Hospice and Palliative Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1265766026
- Entity type
- Individual
- Primary specialty
- Pediatric Hospice and Palliative Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 8598327-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-3645
Approximate (ZIP-level) locationGet directions
Mailing address
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2009-09-28
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.