Provider Demographics
NPI:1134126006
Name:MARKS, STEPHEN R (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:R
Last Name:MARKS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3343 SPRINGHILL DR
Mailing Address - Street 2:STE 1005
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-2930
Mailing Address - Country:US
Mailing Address - Phone:501-758-9251
Mailing Address - Fax:501-758-0308
Practice Address - Street 1:3343 SPRINGHILL DR
Practice Address - Street 2:STE 1005
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2930
Practice Address - Country:US
Practice Address - Phone:501-758-9251
Practice Address - Fax:501-758-0308
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2010-08-11
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Provider Licenses
StateLicense IDTaxonomies
ARC5424207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR160002018OtherRAILROAD MEDICARE
AR11304000040OtherQUALCHOICE
AR381764OtherHEALTHLINK
AR105080001Medicaid
AR381764OtherHEALTHLINK
D16975Medicare UPIN