Organization
WHITE OAK MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARANDA MOORE APN (MANAGER)
(479) 284-2012
Entity
Organization
Contact information
Practice address
11442 SR 27, HECTOR, AR 72843-9102
(479) 264-4455
Mailing address
11442 SR 27, HECTOR, AR 72843-9102
(479) 284-2012
(479) 284-0395
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
03/22/2023
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