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Organization
MISSION FAMILY PRACTICE PLLC
Active
Organization
MISSION FAMILY PRACTICE PLLC
Active
Other names
Mission Family Practice, Mission Family Practice PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A BONNER MD (PHYSICIAN)
(479) 571-6000
Entity
Organization
Contact information
Practice address
2744 E MILLENNIUM DR STE 1, FAYETTEVILLE, AR 72703-4710
(479) 571-6000
(479) 571-3344
Mailing address
PO BOX 3678, FAYETTEVILLE, AR 72702-3678
(479) 571-6000
(479) 571-3344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-7247
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113998001
—
AR
01
—
51916
UNSPECIFIED
AR
01
—
P00200111
RR MCR
AR
Enumeration date
10/28/2014
Last updated
05/14/2026
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