Individual
MARK H DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3501 WE KNIGHT DR, FORT SMITH, AR 72903-6248
(479) 709-6700
(479) 709-6751
Mailing address
PO BOX 11230, FORT SMITH, AR 72917-1230
(479) 709-6700
(479) 709-6751
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
113
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02720013
UNITED HEALTHCARE
AR
01
—
100780350A
OKLAHOMA MEDICAID
OK
05
—
119098717
—
AR
01
—
15283000000
QUALCHOICE
AR
01
—
4350578
AETNA
AR
01
—
480030238
RAILROAD MEDICARE
AR
01
—
56219
ARKANSAS BLUE CROSS
AR
01
—
8779903
CIGNA
AR
01
—
904224
USA MCO
AR
Enumeration date
03/10/2006
Last updated
12/14/2009
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