Individual
DR. MARK EDWARD REINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
637 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 931-3338
(870) 935-9084
Mailing address
637 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 931-3338
(870) 935-9084
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
110
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12802000000
QUAL CHOICE PROVIDER #
AR
01
—
56068
BLUE CROSS PROVIDER #
AR
Enumeration date
06/21/2006
Last updated
07/08/2007
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