SHIROLYN MOFFETT M.D.,P.A.; NPI #1700106549

Contact Information

SHIROLYN MOFFETT M.D.,P.A.

715 W SHERMAN AVE
SUITE D
HARRISON, AR 72601-2743

Phone: 870-204-5129
Fax: 870-204-5131
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Medicine	207QA0505X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for SHIROLYN MOFFETT M.D.,P.A.

NPI # 1700106549

LBN Legal business name SHIROLYN MOFFETT M.D.,P.A.

Authorized official SHIROLYN MOFFETT - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/03/2010

Last updated 06/03/2010 - About 16 years ago

Identifiers

AR	License #	E0693
AR	Medicaid	131508001

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SHIROLYN MOFFETT M.D.,P.A.

Contact Information

Specialty

Adult Medicine

NPI Profile & details for SHIROLYN MOFFETT M.D.,P.A.

Reviews for SHIROLYN MOFFETT M.D.,P.A.