Dr. Randy E Moore
Independent Medical Examiner
758 W 100 S
Heber City
, Utah 84032-3739
Dr. Randy E Moore
Independent Medical Examiner
758 W 100 S
Heber City
, Utah 84032-3739
(513) 708-0585
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Dr. Randy E Moore
- 758 W 100 S
- Heber City, UT
- Zip : 84032-3739
- Phone : (513) 708-0585
Second Address
- Dr. Randy E Moore
- 758 W 100 S
- Heber City, UT
- Zip : 84032-3739
- Fax : (435) 915-7223
- Phone : (513) 708-0585
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | 12108828-1202 | UT |
National Provider Identifier
| NPI | 1386213551 |
|---|---|
| Provider Name | Dr. Randy E Moore |
| First Address | Heber City, UT 84032-3739 |
| Second Address | Heber City, UT 84032-3739 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2021 |
| Last Update Date | 22/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12108828-1202 | CHIROPRACTIC LICENSE (01) | UT |
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.