Individual
DR. MARK S HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
104 WEST STATE ST, CARAWAY, AR 72419
(870) 956-0200
(876) 895-2164
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2006015245
MO
207Q00000X
Family Medicine Physician
Primary
E4159
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006015245
MISSOURI LICENSE
MO
Enumeration date
07/18/2006
Last updated
07/03/2024
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