IndividualActive
Judith Moore, DO
NPI 1659443539 · Family Medicine Physician · Midway, UT
Provider details
- NPI number
- 1659443539
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 180388-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
210 E Main St
Ste 101
Midway, UT 84049-6806
Phone: (435) 657-1777
Fax: (435) 657-0098
Approximate (ZIP-level) locationGet directions
Mailing address
210 E Main St
Midway, UT 84049-6806
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2011-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.