Dr. Mark G Pickhardt
Obstetrician & Gynecologist Gynecologist
3302 N Northhills Blvd
Fayetteville
, Arkansas 72703-4008
Dr. Mark G Pickhardt
Obstetrician & Gynecologist Gynecologist
3302 N Northhills Blvd
Fayetteville
, Arkansas 72703-4008
(479) 582-0222
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Mark G Pickhardt
- Po Box 1523
- Fayetteville, AR
- Zip : 72702-1523
- Fax : (479) 582-0222
- Phone : (479) 571-6038
Second Address
- Dr. Mark G Pickhardt
- 3302 N Northhills Blvd
- Fayetteville, AR
- Zip : 72703-4008
- Fax : (479) 571-6572
- Phone : (479) 582-3366
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | C7319 | AR |
| Y | 207VG0400X | Gynecologist | C-7319 | AR |
National Provider Identifier
| NPI | 1144275413 |
|---|---|
| Provider Name | Dr. Mark G Pickhardt |
| First Address | Fayetteville, AR 72702-1523 |
| Second Address | Fayetteville, AR 72703-4008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2006 |
| Last Update Date | 31/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 119159001 | (05) | AR |
| 54558 | BLUE (01) | AR |
| B30180 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.