Individual
DR. MARK ALAN HEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 S 54TH ST, ROGERS, AR 72758-8169
(479) 271-7077
(479) 271-7035
Mailing address
2100 S 54TH ST, ROGERS, AR 72758-8169
(479) 271-7077
(479) 271-7035
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C-6422
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105365001
—
AR
Enumeration date
12/22/2006
Last updated
11/22/2011
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