Individual
DR. EDWARD LEE MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
220 N PINE, MAGNOLIA, AR 71753-2905
(870) 234-4444
(870) 234-0420
Mailing address
13 TANGLEWOOD, MAGNOLIA, AR 71753-4382
(870) 234-5589
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
03/21/2006
Last updated
06/21/2010
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