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Individual

MARK R STOREY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
CARTI-MARKHAM & UNIVERSITY, #4 ST. VINCENT CIRCLE, LITTLE ROCK, AR 72205
(501) 296-3273
(501) 664-8721
Mailing address
PO BOX 56409, LITTLE ROCK, AR 72215-6409
(501) 296-3273
(501) 664-8721

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
E2669
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142816001
AR
Enumeration date
10/03/2005
Last updated
07/08/2007
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