Dale Ray Burroughs OD

NPI 1003807785 - Optometrist - 152W00000X

NPI Details
NPI 1003807785
Gender Male
Enumeration Date 11/02/2005
Last Updated 08/03/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
305 SECTION LINE
HOT SPRINGS AR, 71913-6913, US
Phone (501) 525-2222
Fax (501) 525-8650
Business Location
305 SECTION LLINE
HOT SPRINGS AR, 71913-6913, US
Phone (501) 525-2222
Fax (501) 525-8650
Toxanomy
Taxonomy Code 152W00000X
License State Arkansas
License Number 2308
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According to our database, Dr. Dale Ray Burroughs OD NPI is 1003807785, taxonomy code is 152W00000X and license number is 2308, license state is located at Arkansas. Dale Ray Burroughs OD physically located at 305 Section Line, Hot Springs AR, 71913-6913. NPI Number Dale Ray Burroughs OD has the Individual type.

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1003807785 NPI number is provided on an as is basis without warranty of any kind. 1003807785 is maintained by the National Plan & Provider Enumeration System. The contents of Dale Ray Burroughs OD are for informational purposes only.