Individual
STEVEN L MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2708 S RIFE MEDICAL LN STE 140, ROGERS, AR 72758-1455
(479) 338-3720
Mailing address
2708 S RIFE MEDICAL LN STE 140, ROGERS, AR 72758-1455
(479) 338-3720
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R4509
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123657001
—
AR
Enumeration date
05/04/2006
Last updated
09/20/2018
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