NPI 1063489821 DR. MICHAEL N MOODY M.D. SALEM AR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Michael N Moody - NPI: 1063489821

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. MICHAEL N MOODY
NPI Number: 1063489821
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: C-4622
Business Practice Address: 507 N Main St
Salem, AR - 725769449
Business Phone Number: 8708952541
Business Fax Number: 8708952957
Mailing Address: Po Box 829,
SALEM
State: AR
Postal Code: 725760829
Phone Number: 8708952541
Fax Number: 8708952957
NPI Enumeration Date: 03/01/2006
NPI Last Update Date: 12/22/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: C-4622
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AR
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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