Individual
MOSES C EJIOFOR SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 KANIS PARK DR, SUITE B, LITTLE ROCK, AR 72205-4569
(501) 603-9277
(501) 603-9877
Mailing address
1515 KANIS PARK DR, SUITE B, LITTLE ROCK, AR 72205-4569
(501) 603-9277
(501) 603-9877
Taxonomy
Speciality
Code
Description
License number
State
246ZN0300X
Nephrology Specialist/Technologist
Primary
E1071
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131530001
—
AR
Enumeration date
03/01/2006
Last updated
10/31/2024
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