Individual
MARK M HEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 BRADEN ST, EMERGENCY DEPT, JACKSONVILLE, AR 72076-3721
(501) 985-7000
Mailing address
PO BOX 3925, SHREVEPORT, LA 71133-3925
(800) 684-0052
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3197
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124983001
—
AR
01
—
P00092046
RAILROAD MEDICARE
—
01
—
P01027357
RAILROAD MCARE
—
Enumeration date
09/06/2006
Last updated
06/19/2012
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