Provider Demographics
NPI:1730130956
Name:ST.PIERRE, MARK ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ANTHONY
Last Name:ST.PIERRE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4000 RICHARDS ROAD
Mailing Address - Street 2:STE A
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117
Mailing Address - Country:US
Mailing Address - Phone:501-758-3999
Mailing Address - Fax:501-758-8653
Practice Address - Street 1:4000 RICHARDS ROAD
Practice Address - Street 2:STE A
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117
Practice Address - Country:US
Practice Address - Phone:501-758-3999
Practice Address - Fax:501-758-8653
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2011-01-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC8308207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR134971001Medicaid
G71474Medicare UPIN
AR5K819Medicare ID - Type Unspecified