Individual
DR. MARK DAVID SHELNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 MERCY LN STE 140, SPRINGDALE, AR 72762
(479) 751-8440
(479) 751-8417
Mailing address
4600 MERCY LN STE 140, SPRINGDALE, AR 72762-3070
(479) 751-8440
(479) 751-8417
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E12556
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2010
Last updated
09/23/2019
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