ARKANSAS DERMATOLOGY CLINIC PA
Dermatology at University Ave, Little Rock, AR

License number
Arkansas R2029
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: MR. CARL JOSEPH RAQUE MD
Title: PHYSICIAN OWNER
Phone: (501) 666-5451
Address
Address
500 SOUTH University Ave SUITE 704, Little Rock, AR 72205
National Provider ID: 1497713580
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ARKANSAS DERMATOLOGY CLINIC PA at bizstanding.com

ARKANSAS DERMATOLOGY CLINIC, PA

Suite 704, Doctors Bldg , 500 S Univ Ave SUITE 704, DOCTORS BLDG , 500 S UNIV AVE, Little Rock, AR 72205

Status:
Inactive
Registration:
Jan 19, 1981
State ID:
100002946
Business type:
For Profit Corporation
Presidents:
Arthur P. Hart (Tax Preparer),Carl Raque (President)
Agent:
Carl J. Raque, M.d,Suite 704, Doctors Bldg , 500 S Univ Ave SUITE 704, DOCTORS BLDG , 500 S UNIV AVE, Little Rock, AR 72205 (Physical)
Filled under act:
Dom Bus & Medical Corp; 576 of 1965 & 179 of 1961

Dermatology licenses in Arkansas










Other Doctors licenses in Arkansas