Provider Demographics
NPI:1366636821
Name:MADILL, MARY ELIZABETH (PA)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ELIZABETH
Last Name:MADILL
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Gender:F
Credentials:PA
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Mailing Address - Street 1:38 WESTGATE ST
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4915
Mailing Address - Country:US
Mailing Address - Phone:501-593-0921
Mailing Address - Fax:479-495-6290
Practice Address - Street 1:901 E BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-6865
Practice Address - Country:US
Practice Address - Phone:501-203-0801
Practice Address - Fax:501-203-0802
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2020-01-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant