| Mark E. Miller, M.d., Pa | |
|
153 E Monte Painter Dr Fayetteville AR 72703-4002 | |
| (479) 527-9966 | |
| (479) 527-9756 |
| Full Name | Mark E. Miller, M.d., Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 153 E Monte Painter Dr, Fayetteville, Arkansas |
| Authorized Official Name and Position | Mark Edgar Miller (OWNER) |
| Authorized Official Contact | 4795279966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E. Miller, M.d., Pa Po Box 10135 Fayetteville AR 72703-0037 Ph: (479) 527-9966 | Mark E. Miller, M.d., Pa 153 E Monte Painter Dr Fayetteville AR 72703-4002 Ph: (479) 527-9966 |
| NPI Number | 1316038029 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316038029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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