MATTHEW J. CROUCH, MD, PLLC
Psychiatric at Sunbridge Dr, Fayetteville, AR

License number
Arkansas E4759
Category
Psychiatric
Type
Child & Adolescent Psychiatry
Owner
Name: LAVONNA M LATTA
Title: BUSINESS MANAGER
Phone: (479) 444-2543
Address
Address
1 W Sunbridge Dr, Fayetteville, AR 72703
National Provider ID: 1316118326
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MATTHEW J. CROUCH, MD, PLLC at bizstanding.com

MATTHEW J. CROUCH, MD, PLLC

1 W Sunbridge Dr, Fayetteville, AR 72703

Registration:
Dec 26, 2007
State ID:
800124852
Business type:
Limited Liability Company
Tax Preparers:
Matthew J. Crouch (Incorporator/Organizer),Jake Bushey (Tax Preparer)
Filled under act:
Domestic LLC; 1003 of 1993

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