SHIROLYN MOFFETT M.D.P.A. NPI 1700106549

NPI Information

SHIROLYN MOFFETT M.D.,P.A. is an adult medicine family medicine in Harrison, AR. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. SHIROLYN MOFFETT M.D.,P.A. NPI is 1700106549. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

715 W SHERMAN AVE
SUITE D
HARRISON, AR
ZIP 72601-743
Phone: (870) 204-5129
Fax: (870) 204-5131

The provider's authorized official is Shirolyn Ruth Moffett .
The authorized official title is President and has the following contact phone number (870) 204-5129.

The enumeration date for this NPI number is 6/3/2010 and was last updated on 6/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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