HENDRICKSON EYE CLINIC PA
Medical Practice at Locust St, Conway, AR

License number
Arkansas C4491
Category
Medical Practice
Type
Ophthalmology
Owner
Name: RICHARD OLEN HENDRICKSON JR. MD
Title: PHYSICIAN
Phone: (501) 329-1151
Address
Address
701 Locust St, Conway, AR 72034
National Provider ID: 1881770527
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HENDRICKSON EYE CLINIC, PA

701 Locust Ave, Conway, AR 72032

Status:
Inactive
Registration:
Jun 29, 1995
State ID:
100123270
Business type:
For Profit Corporation
President:
Richard O Hendrickson (President)
Agent:
Richard O. Hendrickson, M.d. (I),701 Locust Ave, Conway, AR 72032 (Physical)
Filled under act:
Dom Bus & Medical Corp; 958 of 1987 & 179 of 1961

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