TILLEY DIAGNOSTIC CLINIC
Nursing at Schneider Dr, Malvern, AR

License number
Arkansas C7758
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Arkansas E5172
Category
Osteopathic Medicine
Type
Rheumatology
License number
Arkansas E5062
Category
Medical Practice
Type
Pediatrics
License number
Arkansas GL008
Category
Nursing
Type
Physician Assistant
License number
Arkansas P01341
Category
Nursing
Type
Nurse Practitioner
License number
Arkansas A02998
Category
Nursing
Type
Family
License number
Arkansas A01943
Category
Nursing
Type
Family
Owner
Name: ABSALOM H TILLEY M.D.
Title: OWNER
Phone: (501) 337-5678
Address
Address
1003 Schneider Dr, Malvern, AR 72104
National Provider ID: 1831108331
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TILLEY DIAGNOSTIC CLINIC at bizstanding.com

TILLEY DIAGNOSTIC CLINIC, PA

Malvern, AR

Industry:
Medical Doctor's Office
Doing business as:
PINNACLE PHYSICIAN'S GROUP
Registration:
Jun 18, 1996
Addresses:
2313 Reed St, Malvern, AR 72104 (Physical)
1002 Schneider Dr, Malvern, AR 72104
State ID:
100133150
Business type:
For Profit Corporation
Owners:
A.h. Tilley (Tax Preparer),Absalom H. Tilley Md (President),A.h. Tilley Md (Vice-President),...
Agent:
Absalom H. Tilley, M.d,2313 Reed St, Malvern, AR 72104 (Physical)
Filled under act:
Dom Prof Corp; 155 of 1963

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