Search › Arkansas › 183500000X
Scott Moore
NPI 1043683204 · on the registry since 2015 · sole proprietor
Practice
- Address
- 881 W Buchanan St
Prairie Grove, AR 72753 - Phone
- (479) 846-6901
- Organisation at this address
- Wal-Mart Stores Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas