Individual
PITTMAN D. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3604 CENTRAL AVE STE D, HOT SPRINGS, AR 71913-6458
(888) 710-8220
(866) 573-0761
Mailing address
PO BOX 1848, MENA, AR 71953-1841
(479) 437-3449
(479) 243-0285
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E5004
AR
207VM0101X
Maternal & Fetal Medicine Physician
E5004
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171845001
—
AR
Enumeration date
04/03/2007
Last updated
05/27/2023
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