Individual
DR. MALLORY BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2302 COLLEGE AVE STE 100, CONWAY, AR 72034-6297
(501) 513-5385
(501) 513-5257
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
07/18/2025
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