Individual
EUGENE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4702 W COMMERCIAL DR, SUITE C, NORTH LITTLE ROCK, AR 72116-7068
(501) 812-5545
(501) 812-5546
Mailing address
4702 W COMMERCIAL DR, SUITE C, NORTH LITTLE ROCK, AR 72116-7068
(501) 812-5545
(501) 812-5546
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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