Hubert Lawrence Cockrum OD

NPI 1073671541 - Optometrist - 152W00000X

NPI Details
NPI 1073671541
Gender Male
Enumeration Date 12/05/2006
Last Updated 07/01/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
2183 HIGHWAY 62 W
MOUNTAIN HOME AR, 72653-6500, US
Phone (870) 425-1112
Fax (870) 425-1278
Business Location
2183 HIGHWAY 62 W
MOUNTAIN HOME AR, 72653-6500, US
Phone (870) 425-1112
Fax (870) 425-1278
Toxanomy
Taxonomy Code 152W00000X
License State Arkansas
License Number 2230
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According to our database, Dr. Hubert Lawrence Cockrum OD NPI is 1073671541, taxonomy code is 152W00000X and license number is 2230, license state is located at Arkansas. Hubert Lawrence Cockrum OD physically located at 2183 Highway 62 W, Mountain Home AR, 72653-6500. NPI Number Hubert Lawrence Cockrum OD has the Individual type.

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1073671541 NPI number is provided on an as is basis without warranty of any kind. 1073671541 is maintained by the National Plan & Provider Enumeration System. The contents of Hubert Lawrence Cockrum OD are for informational purposes only.