Organization
ARKANSAS OUTPATIENT EYE SURGERY LLC
Active
Other names
McDonald Eye Associates Surgery and Lasik Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL PALMER (ADMINISTRATOR)
(479) 249-6006
Entity
Organization
Contact information
Practice address
3689 N STEELE BLVD, FAYETTEVILLE, AR 72703-5347
(479) 249-6006
(479) 287-4294
Mailing address
3689 N STEELE BLVD, FAYETTEVILLE, AR 72703-5347
(479) 249-6006
(479) 287-4294
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AR4369
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163179128
—
AR
Enumeration date
10/02/2006
Last updated
08/21/2019
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