CONSTANCE CRISP MD, PA
Medical Practice at Capitol Ave, Little Rock, AR

License number
Arkansas E2030
Category
Medical Practice
Type
Specialist
Owner
Name: DR. CONSTANCE J CRISP M.D.
Title: DIRECTOR
Phone: (866) 928-6583
Address
Address
425 W Capitol Ave SUITE 210, Little Rock, AR 72201
National Provider ID: 1659513265
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CONSTANCE J. CRISP, M.D., PA

425 W Capitol Ave STE 210, Little Rock, AR 72201

Status:
Inactive
Industry:
Psychiatrist
Doing business as:
ARKANSAS ANTI-AGING<br>ARKANSAS ANTI-AGING & AESTHETICS<br>BODYLOGICMD OF LITTLE ROCK<br>Constance Crisp MD,PA
Registration:
Dec 31, 2002
Phone:
(501) 224-3223 (Phone)
State ID:
800002234
Business type:
For Profit Corporation
Tax Preparers:
Constance J. Crisp (M.D.),Robert H Lindstrom (Tax Preparer)
Agent:
Constance J. Crisp, M.d,425 W Capitol Ave STE 210, Little Rock, AR 72201 (Physical)
Filled under act:
Dom Prof & Medical Corp; 155 of 1963 & 179 of 1961

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