Jay Caesar Moreland M.D.

NPI 1023095866 - Family Medicine - 207Q00000X

NPI Details
NPI 1023095866
Gender Male
Enumeration Date 12/22/2005
Last Updated 12/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
220 W 7200 S STE A
72ND STREET CLINIC, CHC INC
MIDVALE UT, 84047-1043, US
Phone (801) 566-5494
Fax (801) 561-9647
Business Location
220 W 7200 S STE A
72ND STREET CLINIC, CHC INC
MIDVALE UT, 84047-1043, US
Phone (801) 566-5494
Fax (801) 561-9647
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 263407-1205
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According to our database, Dr. Jay Caesar Moreland M.D. NPI is 1023095866, taxonomy code is 207Q00000X and license number is 263407-1205, license state is located at Utah. Jay Caesar Moreland M.D. physically located at 220 W 7200 S Ste A, Midvale UT, 84047-1043. NPI Number Jay Caesar Moreland M.D. has the Individual type.

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1023095866 NPI number is provided on an as is basis without warranty of any kind. 1023095866 is maintained by the National Plan & Provider Enumeration System. The contents of Jay Caesar Moreland M.D. are for informational purposes only.