Most Relevant Information
Provider Data
| NPI Number: | 1003443706 |
| Provider Name: | MOUSTAFA ALY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2020 |
| Last Updated: | 09/12/2024 |
Provider Practice Location
2 SAINT VINCENT CIR
LITTLE ROCK
AR
722055423
Practice Location Phone/Fax
| Phone: | 5015523000 |
| Fax: |
Provider Mailing Location
PO BOX 23410
LITTLE ROCK
AR
722213410
Provider Mailing Phone/Fax
| Phone: | 5012241690 |
| Fax: |