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Paul Moore

NPI 1871317024 · on the registry since 2024 · sole proprietor

Practice

Address
9000 Bryn Mawr Cir
Fort Smith, AR 72908
Phone
(479) 459-2625

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-14

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