Whalio Doctors

NPI 1619020427

Michael Riley Moore, BOCPABCCFO

Practitioner Prosthetist El Dorado, AR

Practice location

Address
615 W Grove St, El Dorado, AR 71730-4413
Phone
(870) 862-0241
Fax
(903) 838-8094

Registered specialties (2)

Prosthetist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence OPP00120 (AR)
Orthotist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OPP00120 (AR)

Registry record

NPI
1619020427
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jan 2007
Record last updated
21 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.