NPI 1205813474

Rusty a Moore, DO

Practitioner Physical Medicine & Rehabilitation Physician St George, UT

Practice location

Address: 544 S 400 E 5th Floor, St George, UT 84770-3705
Phone: (435) 688-4700
Fax: (435) 688-4326
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 76978781204 (UT)

Other Physical Medicine & Rehabilitation providers in Utah →

Registry record

NPI: 1205813474
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2005
Record last updated: 29 May 2012

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.