Individual
MARK LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6636 W SUNSET AVE STE A, SPRINGDALE, AR 72762-0971
(479) 306-4242
(479) 306-4962
Mailing address
6636 W SUNSET AVE STE A, SPRINGDALE, AR 72762-0971
(479) 306-4242
(479) 306-4962
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C6941
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114617001
—
AR
Enumeration date
06/16/2006
Last updated
09/10/2020
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