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Individual

MELLINDA STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3737 W WALNUT ST, ROGERS, AR 72756-1839
(479) 246-1700
Mailing address
4114 MEDICAL DR APT 23303, SAN ANTONIO, TX 78229-5669
(254) 289-6903

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10339T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2853
ARKANSAS BOARD OF OPTOMETRY
AR
Enumeration date
05/15/2021
Last updated
07/10/2022
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