Richard E Moore Medical Pa

LBN: Richard E Moore Medical Pa
Richard E Moore Medical Pa is an health care organization with primary practice located at 523 Harkrider St , Conway AR 72032-5631. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Richard E Moore Medical Pa can be contacted via phone (501) 327-4484, or through Mcguire, Trysta via phone (501) 733-0311.

Contact Information

Primary practice address
523 Harkrider St Conway AR 72032-5631
Phone: (501) 327-4484
Fax: (501) 327-5963
Website:
Map and Directions
Authorized official contact:
Name: Mcguire, Trysta
Phone: (501) 733-0311

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MC-3139 Arkansas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MC-3139 Arkansas

Profile Details

NPI number 1659737120
LBN Legal business name Richard E Moore Medical Pa
DBA Doing business as
Authorized official Mcguire, Trysta
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2016
Last updated Jan 13th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659737120 NPPES
Arkansas Other MC-3139 AR STATE MEDICAL BOARD LICENSE NUMBER

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