Amedco Arkansas Pllc

NPI 1184967291 - Optometrist - 152W00000X

NPI Details
NPI 1184967291
Enumeration Date 03/27/2013
Last Updated 09/19/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name PHILIP H PHILIP
Position OWNER (PRESIDENT)
Phone (479) 967-4711
Fax (479) 967-4485
Practice Location
302 N. PHOENIX AVE.
CLARK EYE CLINIC
RUSSELLVILLE, AR, 72801, US
Phone (479) 967-4711
Fax (479) 967-4485
Business Location
302 NORTH PHOENIX AVE
RUSSELLVILLE AR, 72801, US
Phone (479) 967-4711
Fax (479) 967-4485
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
Remove 1184967291 NPI Number
 

According to our database, Amedco Arkansas Pllc NPI is 1184967291, taxonomy code is 152W00000X Amedco Arkansas Pllc physically located at 302 N. Phoenix Ave., Russellville, AR, 72801. NPI Number 1033115704 has the healthcare provider type.

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1184967291 NPI number is provided on an as is basis without warranty of any kind. 1184967291 is maintained by the National Plan & Provider Enumeration System. The contents of Amedco Arkansas Pllc are for informational purposes only.