Individual
MARK WILSON POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 E ZION RD, SUITE 6 & 10, FAYETTEVILLE, AR 72703-4988
(479) 582-4647
(479) 582-4660
Mailing address
PO BOX 9688, FAYETTEVILLE, AR 72703-0030
(479) 582-4647
(479) 582-4660
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E1304
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132239001
—
AR
Enumeration date
04/27/2006
Last updated
08/08/2025
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