National Provider Identifier Database

JACK MOORE, MD – NPI #1871342220
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

JACK MOORE, MD
30 N. MARIO CAPECCHI,
HELIX BUILDING, LEVEL 2 SOUTH
SALT LAKE CITY, UT84112
Phone: 801-581-2417
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for JACK MOORE

NPI Number 1871342220
Credentials MD
Entity Individual
Enumeration date 05/17/2024
Last updated 11/19/2025 - About 7 months ago
Sole proprietor1 No
Identifiers
  • UT License #: 14242627-1205
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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