MR. Michael Riley Moore, BOC P. ABC C.F.O.

NPI #1619020427 in El Dorado, Arkansas

Provider Information

NPI Number
1619020427
Entity Type
Individual
Name
MR. Michael Riley Moore, BOC P. ABC C.F.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetist
Credential
BOC P. ABC C.F.O.
Enumeration Date
Jan 18, 2007
Last Updated
Jan 21, 2009

Practice Location

Address
615 W GROVE ST
ZIP Code
71730-4413
Phone
(870) 862-0241

Specialties & Taxonomy Codes

Specialty
Prosthetist
Orthotist

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