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Organization

THU VAN OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THU VAN O.D. (PRESIDENT)
(501) 329-2020
Entity
Organization

Contact information

Practice address
2700 S SHACKLEFORD RD, LITTLE ROCK, AR 72205-6918
(501) 225-5580
Mailing address
3013 OLSON CIR, BRYANT, AR 72022-8153

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2587
AR

Other

Enumeration date
04/11/2014
Last updated
04/11/2014
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