Individual
DR. MARK R CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 CASH RD SW, CAMDEN, AR 71701-3704
(870) 836-8101
(870) 837-6833
Mailing address
PO BOX 757, CAMDEN, AR 71711-0757
(870) 836-8101
(870) 837-6833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3938
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000167046403
UNITED HEALTH CARE
—
01
—
080046875
RAILROAD MEDICARE
—
05
—
115678001
—
AR
01
—
13272000000
QUALCHOICE
—
01
—
5297056
AETNA
—
01
—
770008701
BREASTCARE
AS
Enumeration date
03/01/2006
Last updated
10/03/2008
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