Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Moore, MD

Individual provider Emergency Medicine Physician · NPI 1871342220

Jack Moore, MD is an Emergency Medicine Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 N Mario Capecchi Helix Bldg Level 2 South
Salt Lake City, UT 84112
Phone: (801) 581-2417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 14242627-1205 (UT)

Record details

NPI number1871342220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2024
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

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