| Moroni Clinic | |
|
51 East Main Street Moroni UT 84646-0810 | |
| (435) 436-5260 | |
| Not Available |
| Full Name | Moroni Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 51 East Main Street, Moroni, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moroni Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 436-5260 | Moroni Clinic 51 East Main Street Moroni UT 84646-0810 Ph: (435) 436-5260 |
| NPI Number | 1225266901 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 07/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225266901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2212009 (Utah) | Primary |