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DR. GARY L. MOFFITT M.D.
NPI 1669695300
Specialist in Springdale, AR

Active since April 11, 2007
4001 WAGON WHEEL RD, SPRINGDALE, AR 72762(479) 725-3001(479) 725-3098 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gary L. Moffitt M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY L. MOFFITT M.D. (NPI 1669695300) is an individual specialist in Springdale, Arkansas, licensed in Arkansas (C-5918) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1669695300
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. GARY L. MOFFITTCredential: M.D.
Location Address4001 WAGON WHEEL RDSpringdale, AR 72762-0137
Mailing Address4001 Wagon Wheel RdSpringdale, AR 72762-0137 · (479) 725-3001 · Fax (479) 725-3098
Phone(479) 725-3001
Fax(479) 725-3098
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateDecember 28, 2010
✔ NPI 1669695300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · C-5918
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4001 WAGON WHEEL RD, Springdale, AR 72762
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Other Identifiers 1

Medicare UPIND04790AR

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMMY NEZ YOUNG RD
Dietitian, Registered
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3043
AMANDA GAIL BELL
Nurse Practitioner (Occupational Health)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3001
BOBBIE JO KOMERS APRN
Nurse Practitioner
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
MR. JOHN DANIEL NICHOLAS PA-C
Physician Assistant
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
ARKANSAS OCCUPATIONAL MEDICINE SERVICES PA
Specialist
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
KACIE LARAE FELTON
Nurse Practitioner (Family)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
ARKANSAS OCCUPATIONAL HEALTH CLINIC
Nurse Practitioner (Occupational Health)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3001
NORTHWEST ARKANSAS PHYSICAL ABILITY TESTING CENTER INC
Clinic/Center (Physical Therapy)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Moffitt's NPI number?

The NPI number for Gary Moffitt is 1669695300. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Gary Moffitt located?

Gary Moffitt practices at 4001 Wagon Wheel Rd, Springdale, AR 72762. The listed phone number is (479) 725-3001.

What is Gary Moffitt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gary Moffitt was last updated on December 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.