OPHTHALMOLOGY ASSOCIATES OF BENTON, PLLC
Medical Practice at Medical Park Dr, Benton, AR

License number
Arkansas C7930
Category
Medical Practice
Type
Specialist
License number
Arkansas C7476
Category
Medical Practice
Type
Specialist
License number
Arkansas E-2274
Category
Medical Practice
Type
Specialist
Owner
Name: MRS. LINDA DETHERAGE
Title: INSURANCE & CREDENTIALING
Phone: (501) 778-1113
Address
Address
3 Medical Park Dr SUITE 300, Benton, AR 72015
National Provider ID: 1699774794
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OPHTHALMOLOGY ASSOCIATES OF BENTON, P.L.L.C

Benton, AR

Industry:
Medical Doctor's Office
Doing business as:
Ophthalmology Associates of Benton<br>Annette Enderlin
Registration:
Jan 26, 1999
Phone:
(501) 315-4999 (Phone)
Addresses:
#3 Medical Park Dr STE 300, Benton, AR 72015 (Physical)
3 Medical Park Dr, Benton, AR 72015
State ID:
100167128
Business type:
Limited Liability Company
Medical Doctors:
Bell Company (Tax Preparer),Alan Hughes (Chief Executive Officer, Ophthalmology, Medical Doctor),Annette M. Enderlin (Ophthalmology),...
Agent:
Alan W Hughes,#3 Medical Park Dr STE 300, Benton, AR 72015 (Physical)
Filled under act:
Domestic LLC; 1003 of 1993

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