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Jason Moore

NPI 1154705382 · on the registry since 2015

Practice

Address
500 W. Ave E St.
Hope, AR 71801
Phone
(870) 773-0700
Fax
(870) 773-0705

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-23

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