Individual
MARK HINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, FR, FDM
Contact information
Practice address
131 BARNHILL ARENA OFFICE, OFFICE 116A, FAYETTEVILLE, AR 72701
(479) 575-5150
Mailing address
6258 W COPPER RIDGE LN, FAYETTEVILLE, AR 72704-6071
(473) 249-5487
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT 469
AR
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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