Individual
DR. GARY L. MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
174400000X
Specialist
Primary
C-5918
AR
Other
Enumeration date
04/11/2007
Last updated
12/28/2010
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