Individual
DR. MALLORY BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1700 ALTUS ST STE 110, CONWAY, AR 72032-4299
(501) 852-1366
(501) 852-1367
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E18728
AR
Other
Enumeration date
05/04/2022
Last updated
07/28/2026
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