Individual
MR. DAVID MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1662 HIGDON FERRY ROAD, STE 300, HOT SPRINGS, AR 71913
(501) 321-2663
Mailing address
PO BOX 21190, STE 300, HOT SPRINGS, AR 71903-1190
(501) 321-2663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
P-T0916
AR
Other
Enumeration date
08/27/2009
Last updated
09/25/2009
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