Organization
DR. E. L. MCDONNELL P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L. MCDONNELL O.D., P.A. (OPTOMETRIST)
(870) 234-4444
Entity
Organization
Contact information
Practice address
220 N PINE STREET, MAGNOLIA, AR 71753-2905
(870) 234-4444
(870) 234-0420
Mailing address
220 N PINE, MAGNOLIA, AR 71753-2905
(870) 234-4444
(870) 234-0420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2124
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110154022
—
AR
Enumeration date
04/06/2007
Last updated
08/26/2010
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