Individual
DR. MARK A BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2744 E MILLENNIUM DR STE 1, FAYETTEVILLE, AR 72703-4710
(479) 571-6000
(479) 571-3344
Mailing address
2744 E MILLENNIUM DR STE 1, FAYETTEVILLE, AR 72703-4710
(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
AR BC/BS
AR
01
—
P00200111
RR MCR
AR
Enumeration date
06/30/2006
Last updated
05/14/2026
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