Individual
TRACER D MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2925 W WALNUT ST, ROGERS, AR 72756-0338
(479) 636-6609
(479) 636-7725
Mailing address
2925 W WALNUT ST, ROGERS, AR 72756-0338
(479) 636-6609
(479) 636-7725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16175
AR
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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