Craig M. Moffat
Allergist & Immunologist
333 S 900 E
Salt Lake City
, Utah 84102-2310
Craig M. Moffat
Allergist & Immunologist
333 S 900 E
Salt Lake City
, Utah 84102-2310
(801) 355-4011
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Craig M. Moffat
- Po Box 27128
- Salt Lake City, UT
- Zip : 84127-0128
- Fax : (801) 355-4011
- Phone : (801) 535-8163
Second Address
- Craig M. Moffat
- 333 S 900 E
- Salt Lake City, UT
- Zip : 84102-2310
- Fax : (801) 355-4011
- Phone : (801) 535-8163
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 168053-1205 | UT |
National Provider Identifier
| NPI | 1134159965 |
|---|---|
| Provider Name | Craig M. Moffat |
| First Address | Salt Lake City, UT 84127-0128 |
| Second Address | Salt Lake City, UT 84102-2310 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 26/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D20231 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.