Individual
R DAN BOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PA
Contact information
Practice address
2733 CADDO ST, ARKADELPHIA, AR 71923-5309
(870) 246-2932
(870) 230-1552
Mailing address
2733 CADDO ST, ARKADELPHIA, AR 71923-5309
(870) 246-2932
(870) 230-1552
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2306
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101472722
—
AR
01
—
410002596
RAILROAD MCR
AR
Enumeration date
05/03/2006
Last updated
11/05/2010
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