James Warren Stuckey OD

NPI 1063568038 - Optometrist - 152W00000X

NPI Details
NPI 1063568038
Gender Male
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1155 HIGHWAY 65 NORTH
CONWAY AR, 72032-3500, US
Phone (501) 328-9500
Fax (501) 328-5148
Business Location
1510 SKYLINE VISTA COURT
RUSSELLVILLE AR, 72802-8450, US
Phone (479) 890-6085
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Arkansas
License Number 2186
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According to our database, Dr. James Warren Stuckey OD NPI is 1063568038, taxonomy code is 152W00000X and license number is 2186, license state is located at Arkansas. James Warren Stuckey OD physically located at 1155 Highway 65 North, Conway AR, 72032-3500. NPI Number James Warren Stuckey OD has the Individual type.

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1063568038 NPI number is provided on an as is basis without warranty of any kind. 1063568038 is maintained by the National Plan & Provider Enumeration System. The contents of James Warren Stuckey OD are for informational purposes only.