Individual
MARK LUDEAN UNGERANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-2515
(870) 425-2710
Mailing address
1 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 425-2515
(870) 425-2710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
904
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101032718
—
AR
Enumeration date
08/01/2006
Last updated
08/14/2019
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