Organization
ARKANSAS OCCUPATIONAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE MOFFITT (ADMINISTRATOR)
(479) 725-3055
Entity
Organization
Contact information
Practice address
4001 WAGON WHEEL RD, SPRINGDALE, AR 72762-0137
(479) 725-3001
(479) 725-3098
Mailing address
4001 WAGON WHEEL RD, SPRINGDALE, AR 72762-0137
(479) 725-3001
(479) 725-3098
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
ATP-000823
AR
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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