NPI 1174707897 · live from the CMS NPI Registry
John D Moore, MD
Internal Medicine, Gastroenterology in Springdale, AR. National Provider Identifier 1174707897, active.
NPI record
| NPI | 1174707897 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 3901 Parkway Cir Ste 550, Springdale, AR 72762 |
| Practice phone | 479-521-8200 |
| Enumerated | December 18, 2007 |
| Last updated | June 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | E-4026 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.