Individual
MISS ELIZABETH B MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11517 KANIS RD, LITTLE ROCK, AR 72211-3724
(501) 993-8707
(501) 223-8075
Mailing address
144 CAMBRIDGE PLACE DR, LITTLE ROCK, AR 72227-2102
(501) 221-1756
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
525
AR
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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