Provider Demographics
NPI:1710203989
Name:OYLER, MARK L (BC-HIS, ACA)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:L
Last Name:OYLER
Suffix:
Gender:M
Credentials:BC-HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:958 S WEST END ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-5257
Mailing Address - Country:US
Mailing Address - Phone:479-756-8750
Mailing Address - Fax:479-756-9080
Practice Address - Street 1:958 S WEST END ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-5257
Practice Address - Country:US
Practice Address - Phone:479-756-8750
Practice Address - Fax:479-756-9080
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR281237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist