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Contact Information

MERWIN B MOORE, MD
639 BROADMOOR CIRCLE
MOUNTAIN HOME, AR72653
 Phone: 870-424-4710
 Fax: 870-424-4780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MERWIN B MOORE · (Male)

NPI Number 1386617561
Status Active
Credentials MD
Entity Individual
Enumeration date 02/09/2006
Last updated 08/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E5667
  • MO License # 2003027560
  • AR Medicaid 154348001
  • MO Medicaid 209057108
  • AR Other 5H201 BCBS - ARKANSAS
Hospital affiliation(s)
  • BAXTER REGIONAL MEDICAL CENTER - (Acute Care)
    624 HOSPITAL DRIVE
    MOUNTAIN HOME, AR 72653
  • OZARKS MEDICAL CENTER - (Acute Care)
    1100 KENTUCKY AVE
    WEST PLAINS, MO 65775
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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