Provider Demographics
NPI:1255310819
Name:LEFLER, MARK W (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:W
Last Name:LEFLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 HOLLYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7057
Mailing Address - Country:US
Mailing Address - Phone:501-321-9292
Mailing Address - Fax:877-791-3078
Practice Address - Street 1:100 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7057
Practice Address - Country:US
Practice Address - Phone:501-321-9292
Practice Address - Fax:877-791-3078
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-8277207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0120643OtherUNITED HEALTHCARE
AR5L066OtherBCBS
AR483745OtherHEALTHLINK
080192550OtherTRAVELERS MEDICARE
AR136463001Medicaid
5935767OtherAETNA
AR5L0667252OtherMEDICARE
AR183550000OtherQUALCHOICE
080192550OtherTRAVELERS MEDICARE
AR5L0667252OtherMEDICARE