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Contact Information

MARK D SHELNUTT, MD
4600 MERCY LN STE 140
SPRINGDALE, AR72762
 Phone: 479-751-8440
 Fax: 479-751-8417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARK D SHELNUTT · (Male)

NPI # 1508177957
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2010
Last updated 09/23/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E12556
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    2710 RIFE MEDICAL LANE
    ROGERS, AR 72758
  • NW ARKANSAS HOSPITALS LLC - (Acute Care)
    609 WEST MAPLE AVENUE
    SPRINGDALE, AR 72764
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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