Individual
MR. RICHARD LYNN MCDOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
709 W MAIN ST, CLARKSVILLE, AR 72830-3410
(479) 754-6303
(479) 754-5599
Mailing address
PO BOX 270, 709 W MAIN, CLARKSVILLE, AR 72830-0270
(479) 754-6303
(479) 754-5599
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C5294
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103104001
—
AR
Enumeration date
11/02/2005
Last updated
03/08/2012
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