Individual
MARK A HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
624 HOSPITAL DRIVE, DEPT 4610, MOUNTAIN HOME, AR 72653-2955
(870) 508-1000
Mailing address
PO BOX 2336, MOUNTAIN HOME, AR 72654-2336
(870) 424-7070
(870) 424-6616
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
05361
LA
367500000X
Certified Registered Nurse Anesthetist
556871
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
C003109
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217793001
—
AR
Enumeration date
01/21/2008
Last updated
11/06/2019
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