NPI 1962462903

Phillip Moore, DC

Practitioner Chiropractor Bald Knob, AR

Practice location

Address: 3609 Highway 367 N, Bald Knob, AR 72010-9404
Phone: (501) 724-2202
Fax: (501) 724-2202
Mailing address: PO Box 1609 3609 Hwy 367 N, Bald Knob, AR 72010-1609

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1083 (AR)

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Registry record

NPI: 1962462903
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2006
Record last updated: 30 Aug 2010

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.