NPI 1851525026

Thomas Glennon Moore, IDMT

Practitioner Independent Duty Medical Technicians Hill Afb, UT

Practice location

Address: 6475 Warrior Way Bldg. 1938, Hill Afb, UT 84056-5974
Phone: (801) 777-0658
Mailing address: 4296 Appomattox Cir APT a, Hill Afb, UT 84056-1572

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Utah →

Registry record

NPI: 1851525026
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2009
Record last updated: 4 May 2009

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.