Individual
DR. JUSTIN RYAN BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4208 PLEASANT CROSSING BLVD, ROGERS, AR 72758
(479) 631-2030
Mailing address
4208 PLEASANT CROSSING BLVD, ROGERS, AR 72758
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2596
AR
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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