SearchArkansas183500000X

Colton Moorman

NPI 1831791730 · on the registry since 2020

Practice

Address
205 Atlanta St Se
Gravette, AR 72736
Phone
(479) 787-5966
Organisation at this address
Teasley Drug Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

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
2020-11-15

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