King Dermatology

LBN: Mark S King, Md, Pa
King Dermatology is an health care organization with primary practice located at 2062 Highway 62 W , Mountain Home AR 72653-7656. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Mark S King, Md, Pa can be contacted via phone (870) 425-5464, or through King, Mark Steven via phone (870) 425-5464.

Contact Information

Primary practice address
2062 Highway 62 W Mountain Home AR 72653-7656
Phone: (870) 425-5464
Fax: (870) 425-5465
Website:
Map and Directions
Authorized official contact:
Name: King, Mark Steven Doctor of Medicine (MD)
Phone: (870) 425-5464

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E5875 Arkansas

Profile Details

NPI number 1619107398
LBN Legal business name Mark S King, Md, Pa
DBA Doing business as King Dermatology
Authorized official King, Mark Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2009
Last updated Aug 24th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619107398 NPPES
Arkansas MEDICAID 179411002

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