Organization
GEORGE M DUNN JR OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE M. DUNN JR. OD PA (OPTOMETRIC PHYSICIAN)
(870) 673-1504
Entity
Organization
Contact information
Practice address
310 W 22ND ST STE 1, STUTTGART, AR 72160-6652
(870) 673-2959
Mailing address
PO BOX 1128, STUTTGART, AR 72160-1011
(870) 673-2959
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2233
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111823722
—
AR
01
—
49759
BLUE CROSS
AR
Enumeration date
05/02/2007
Last updated
04/08/2009
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