Individual
JASON S MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST, #520-1, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
E6532
AR
208C00000X
Colon & Rectal Surgery Physician
MD200284
LA
Other
Enumeration date
06/29/2006
Last updated
10/21/2010
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