Individual
DR. MICHAEL BRADLEY MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-6136
(870) 265-9364
(870) 265-9366
Mailing address
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-6136
(870) 265-9364
(870) 265-9366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C-8286
AR
208600000X
Surgery Physician
Primary
C-8286
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136648001
—
AR
Enumeration date
05/05/2006
Last updated
11/02/2021
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