MEDICARE: DR. AARON HENRI MOYAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	37160	KY

General Provider Information

NPI Number	:	1518050905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON HENRI MOYAL M.D.

Provider Business Mailing Address
First Line	:	8888 PINEVIEW DR
Second Line	:
City	:	HUNTSVILLE
State	:	UT
Zip	:	84317-9642
Country	:	US
Telephone Number	:	801-388-1561
Fax Number	:	801-745-9224

Provider Business Practice Location Address
First Line	:	8888 PINEVIEW DR
Second Line	:
City	:	HUNTSVILLE
State	:	UT
Zip	:	84317-9642
Country	:	US
Telephone Number	:	801-388-1561
Fax Number	:	801-745-9224

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	10/08/2007

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