Individual
JOHN D MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 PARKWAY CIR STE 550, SPRINGDALE, AR 72762-6362
(479) 521-8200
(479) 582-7310
Mailing address
3901 PARKWAY CIR STE 550, SPRINGDALE, AR 72762-6362
(479) 521-8200
(479) 582-7310
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E-4026
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154303001
—
AR
01
—
5M890
AR BC/BS
AR
Enumeration date
12/18/2007
Last updated
06/19/2023
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