Individual
MARK ALLEN MOSELEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3344 N FUTRALL DR, FAYETTEVILLE, AR 72703
(479) 582-7330
(479) 582-7391
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E-8324
AR
207RP1001X
Pulmonary Disease Physician
Primary
E-8324
AR
Other
Enumeration date
06/19/2008
Last updated
03/15/2024
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