RICHARD E. DIETZEN, M.D.,P.A.
Ambulatory Health at Oak St, El Dorado, AR

License number
Arkansas E-1069
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. RICHARD EDWARD DIETZEN M.D.
Title: PHYSICIAN
Phone: (870) 863-6444
Address
Address
403 W Oak St SUITE 302, El Dorado, AR 71730
National Provider ID: 1174738397
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RICHARD E. DIETZEN, M.D.,P.A. at bizstanding.com

RICHARD E. DIETZEN, M.D., PA

211 N Washington Ave STE 101, El Dorado, AR 71730

Status:
Inactive
Registration:
Dec 31, 1998
State ID:
100166113
Business type:
For Profit Corporation
President:
Richard E. Dietzen (President)
Agent:
Henry C. Kinslow,211 N Washington Ave STE 101, El Dorado, AR 71730 (Physical)
Filled under act:
Dom Bus & Medical Corp; 958 of 1987 & 179 of 1961

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