Individual
DR. MARK STANDRIDGE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 FALLS BLVD S, WYNNE, AR 72396-3514
(870) 238-2321
(870) 238-0114
Mailing address
PO BOX 158, WYNNE, AR 72396-0158
(870) 238-2321
(870) 238-0114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-4753
AR
Other
Enumeration date
08/20/2006
Last updated
03/29/2012
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