Martindale, Mark A

Martindale, Mark A is an individual health care provider with primary practice located at 5 Medical Park Dr Suite 102A, Benton AR 72015-3729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Martindale, Mark A can be contacted via phone (501) 315-1222.

Contact Information

Primary practice address
5 Medical Park Dr Suite 102A Benton AR 72015-3729
Phone: (501) 315-1222
Fax: (501) 315-1222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C7310 Arkansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C7310 Arkansas

Profile Details

NPI number 1205911849
LBN Legal business name Martindale, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 6th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205911849 NPPES
Arkansas MEDICAID 119185001

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