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1184676041
MARK EDGAR MILLER
FAYETTEVILLE, AR
NPI
1184676041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AR C-8455)
Enumeration Date
2006-05-17
Last Update Date
2014-09-03
Business Address
Dr. MARK EDGAR MILLER M.D.
2630 E CITIZENS DR SUITE 3
FAYETTEVILLE, AR 72703-4797
Phone number: 479-527-9966
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Mailing Address
Dr. MARK EDGAR MILLER M.D.
2630 E CITIZENS DR SUITE 3
FAYETTEVILLE, AR 72703-4797
Phone number: 479-527-9966
Copy
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