Mark Jordan Fanduward
Mark Jordan Fanduward is a Case Manager/Care Coordinator in Little Rock, Arkansas. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
6501 W 12th StLittle Rock, AR 72204-1511
Phone: (501) 666-8686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1821122664 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 15, 2007 |
| Last updated in NPPES | July 8, 2007 |
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