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R DAN BOST OD PA

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1669430914

Individual Registrant:
 R DAN BOST OD PA
Gender: M
Sole Proprietor

Location and contact information for practice:
2733 CADDO ST  ARKADELPHIA, AR 71923-5309 US
Tel: 870-246-2932  Fax: 870-230-1552

Contact information for business:
2733 CADDO ST  ARKADELPHIA, AR 71923-5309 US
Tel: 870-246-2932  Fax: 870-230-1552

Registration Information:
NPI: 1669430914
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
AR2306

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
101472722AR05
RAILROAD MCR410002596AR01




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