Dara M Mooney in Little Rock - Physician Assistant
Dara M Mooney - NPI 1609979426
Dara M Mooney is a Physician Assistant in Little Rock, Arkansas. Dara M Mooney practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dara M Mooney is 1609979426. The last update date is 2013-05-17.
Dara M Mooney's current location address is 4301 W Markham St, Little Rock, Arkansas. You can contact this provider via phone number 5016867027 and fax number 5012961307. The mailing address for Dara M Mooney is 4301 W Markham St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dara M Mooney |
|---|---|
| Address | 4301 W Markham St, Little Rock, Arkansas |
| Phone Number | 5016867027 |
| Fax Number | 5012961307 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1609979426 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2013-05-17 |
Provider Mailing Address Detail
| Address | 4301 W Markham St |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722057101 |
| Phone Number | 5016867027 |
| Fax Number | 5012961307 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-308 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1345393 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dara M Mooney by the Centers for Medicare & Medicaid Services?
The Dara M Mooney has been assigned the NPI (National Provider Identifier) 1609979426. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dara M Mooney is physically located?
The Dara M Mooney is physically situated at the following address: 4301 W Markham St, Little Rock, AR, 722057101.
What is Dara M Mooney's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dara M Mooney is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609979426 to Dara M Mooney?
The Centers for Medicare & Medicaid Services originally issued the 1609979426 to Dara M Mooney on 2006-09-07.
When was the information related to Dara M Mooney most recently updated or refreshed?
The details pertaining to the Dara M Mooney, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-17.
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