Organization
MISSION FAMILY PRACTICE PLLC
Active
Other names
Mission Family Practice, Mission Family Practice PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A BONNER MD (PHYSICIAN)
(479) 571-6000
Entity
Organization
Contact information
Practice address
2744 E MILLENNIUM DR STE 1, FAYETTEVILLE, AR 72703-4710
(479) 571-6000
(479) 571-3344
Mailing address
PO BOX 3678, FAYETTEVILLE, AR 72702-3678
(479) 571-6000
(479) 571-3344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-7247
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113998001
—
AR
01
—
51916
UNSPECIFIED
AR
01
—
P00200111
RR MCR
AR
Enumeration date
10/28/2014
Last updated
05/14/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us