Provider Demographics
NPI:1619982055
Name:HAZZARD, MARION POWELL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARION
Middle Name:POWELL
Last Name:HAZZARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 CARROLL ROAD
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-6004
Mailing Address - Country:US
Mailing Address - Phone:870-239-4631
Mailing Address - Fax:
Practice Address - Street 1:1703 CARROLL ROAD
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-6004
Practice Address - Country:US
Practice Address - Phone:870-239-4631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC4207207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery