Whalio Doctors

NPI 1134159965

Craig M. Moffat, MD

Practitioner Allergy & Immunology Physician Salt Lake City, UT

Practice location

Address
333 S 900 E, Salt Lake City, UT 84102-2310
Phone
(801) 535-8163
Fax
(801) 355-4011
Mailing address
PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 168053-1205 (UT)

Registry record

NPI
1134159965
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jul 2006
Record last updated
26 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.