John R Vanderbush O.D.

NPI 1659687242 - Optometrist - 152WC0802X

NPI Details
NPI 1659687242
Gender Male
Enumeration Date 08/20/2010
Last Updated 08/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
834 W NORTH ST
FAYETTEVILLE AR, 72701-1866, US
Phone (479) 442-8961
Fax
Business Location
1800 N FOX TRL
BENTON AR, 72019-2070, US
Phone (501) 317-7108
Fax
Toxanomy
Taxonomy Code 152WC0802X
License State Arkansas
License Number 2658
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According to our database, Dr. John R Vanderbush O.D. NPI is 1659687242, taxonomy code is 152WC0802X and license number is 2658, license state is located at Arkansas. John R Vanderbush O.D. physically located at 834 W North St, Fayetteville AR, 72701-1866. NPI Number John R Vanderbush O.D. has the Individual type.

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1659687242 NPI number is provided on an as is basis without warranty of any kind. 1659687242 is maintained by the National Plan & Provider Enumeration System. The contents of John R Vanderbush O.D. are for informational purposes only.