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Individual

DR. MARK S BAILEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2010 ACTIVE WAY, BENTON, AR 72019-7566
(501) 315-0984
(501) 847-1405
Mailing address
PO BOX 3250, BENTON, AR 72018-3250
(501) 315-0984
(501) 847-1405

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E-7064
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
440133001
AR
Enumeration date
04/25/2007
Last updated
11/16/2015
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