Individual
DR. MEGAN PROVENCE-PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1600 W SUNSET AVE, SUITE A, SPRINGDALE, AR 72762-5136
(479) 756-1234
Mailing address
1600 W SUNSET AVE, SUITE A, SPRINGDALE, AR 72762-5136
(479) 756-1234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2824
OK
Other
Enumeration date
06/16/2014
Last updated
08/05/2015
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