Organization
JESSE D MOORE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE D MOORE (MD)
(870) 347-2568
Entity
Organization
Contact information
Practice address
HIGHWAY 64 EAST, AUGUSTA, AR 72006
(870) 347-2568
(870) 347-2560
Mailing address
PO BOX 67, AUGUSTA, AR 72006
(870) 347-2568
(870) 347-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
09/27/2007
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