Jesse D Moore MD

NPI #1790718906 in Augusta, Arkansas

Provider Information

NPI Number: 1790718906
Entity Type: Organization
Organization Name: Jesse D Moore MD
Primary Specialty: Family Medicine
Enumeration Date: Jul 9, 2006
Last Updated: Sep 27, 2007

Practice Location

Address: HIGHWAY 64 EAST
City: Augusta
State: Arkansas
ZIP Code: 72006
Phone: (870) 347-2568

Authorized Official

Name: JESSE D MOORE
Title: MD
Phone: (870) 347-2568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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