Organization
HARRY R. DENISON, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY R. DENISON O.D. (PRESIDENT)
(870) 352-2167
Entity
Organization
Contact information
Practice address
312 SPRING ST., FORDYCE, AR 71742
(870) 352-2167
(870) 352-8883
Mailing address
PO BOX 725, FORDYCE, AR 71742
(870) 352-2167
(870) 352-8883
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2050
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102066722
—
AR
Enumeration date
03/17/2008
Last updated
06/29/2011
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