MICHAEL RILEY MOORE

EL DORADO, AR
NPI1619020427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: AR  OPP00120)
Additional Taxonomies222Z00000X 
(Licence: AR  OPP00120)
Enumeration Date2007-01-18
Last Update Date2009-01-21
Business Address
Mr. MICHAEL RILEY MOORE BOC P. ABC C.F.O.
615 W GROVE ST
EL DORADO, AR 71730-4413
Phone number: 870-862-0241
Mailing Address
Mr. MICHAEL RILEY MOORE BOC P. ABC C.F.O.
615 W GROVE ST
EL DORADO, AR 71730-4413
Phone number: 870-862-0241