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Individual

MOOREA LEIGH MASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3336 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 463-3000
Mailing address
614 NE ALPHA CIR APT 308, BENTONVILLE, AR 72712-3050
(828) 551-9925

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
03/09/2022
Last updated
05/30/2023
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