Individual
DR. MARK EDWARD GUSTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
(501) 268-3946
Mailing address
2900 HAWKINS DR, SEARCY, AR 72143-4802
(501) 278-2800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E1248
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188024001
—
AR
Enumeration date
04/29/2008
Last updated
06/16/2020
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