Individual
DR. THOMAS ROBERT MOFFETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11300 N RODNEY PARHAM RD, SUITE 210, LITTLE ROCK, AR 72212-4153
(501) 663-4100
(501) 663-4145
Mailing address
11300 N RODNEY PARHAM RD, SUITE 210, LITTLE ROCK, AR 72212-4153
(501) 663-4100
(501) 663-4145
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
R4045
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117396001
—
AR
01
—
11923000000
QUALCHOICE
AR
Enumeration date
08/02/2005
Last updated
10/17/2024
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