Organization
MARK E. MILLER, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDGAR MILLER M.D. (OWNER)
(479) 527-9966
Entity
Organization
Contact information
Practice address
153 E MONTE PAINTER DR, FAYETTEVILLE, AR 72703-4002
(479) 527-9966
(479) 527-9756
Mailing address
PO BOX 10135, FAYETTEVILLE, AR 72703-0037
(479) 527-9966
(479) 527-9756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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