Bodiford Eye Institute, Pa

NPI 1336219773 - Ophthalmology - 207W00000X

NPI Details
NPI 1336219773
Enumeration Date 11/09/2006
Last Updated 04/01/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GARY L GARY
Position OWNER
Phone (479) 649-7018
Fax (479) 649-7024
Practice Location
9001 JENNY LIND RD
FORT SMITH AR, 72908-8629, US
Phone (479) 649-7018
Fax (479) 649-7024
Business Location
9001 JENNY LIND RD
FORT SMITH AR, 72908-8629, US
Phone (479) 649-7018
Fax (479) 649-7024
Toxanomy
Taxonomy Code 207W00000X
License State Arkansas
License Number MC-1402
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According to our database, Bodiford Eye Institute, Pa NPI is 1336219773, taxonomy code is 207W00000X and license number is MC-1402, license state is located at Arkansas. Bodiford Eye Institute, Pa physically located at 9001 Jenny Lind Rd, Fort Smith AR, 72908-8629. NPI Number 1033115704 has the healthcare provider type.

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1336219773 NPI number is provided on an as is basis without warranty of any kind. 1336219773 is maintained by the National Plan & Provider Enumeration System. The contents of Bodiford Eye Institute, Pa are for informational purposes only.