MISSION FAMILY PRACTICE PLLC NPI 1982009395

NPI Information

MISSION FAMILY PRACTICE PLLC is a family medicine in Fayetteville, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MISSION FAMILY PRACTICE PLLC NPI is 1982009395. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mission Family Practice.

The provider's business location address is:

2630 E CITIZENS DR
SUITE #13
FAYETTEVILLE, AR
ZIP 72703-797
Phone: (479) 571-6000
Fax: (479) 571-3344

The provider's authorized official is Mark Andrew Bonner .
The authorized official title is Provider and has the following contact phone number (479) 571-6000.

The enumeration date for this NPI number is 10/28/2014 and was last updated on 10/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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