| Doctor Name: | DR. MARK ANTHONY G RAMIRO |
| NPI Number: | 1467498774 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | E-2876 |
| Business Practice Address: | 1400 Claud Rd White Hall, AR - 716028622 |
| Business Phone Number: | 8702479499 |
| Business Fax Number: | 8702475312 |
| Mailing Address: | 1400 Claud Rd, WHITE HALL |
| State: | AR |
| Postal Code: | 716028622 |
| Phone Number: | 8702479499 |
| Fax Number: | 8702475312 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 10/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | E-2876 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |