IndividualActive
Byron Moulton, AUDIOLOGIST
NPI 1386667293 · Audiologist · Provo, UT
Provider details
- NPI number
- 1386667293
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUDIOLOGIST
- Sex
- Male
- Sole proprietor
- No
- License
- 57266144101 (UT)
Practice location
1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 373-7850
Fax: (801) 357-7997
Mailing address
Po Box 30180
Salt Lake City, UT 84130-0180
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.