Wallace Holt Optical Llc

NPI 1023410651 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1023410651
Enumeration Date 09/26/2014
Last Updated 09/23/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JEFFREY G JEFFREY
Position MEMBER
Phone (501) 624-0609
Fax (501) 624-6191
Practice Location
211 MCAULEY CT
HOT SPRINGS AR, 71913-6314, US
Phone (501) 624-0609
Fax (501) 624-6191
Business Location
211 MCAULEY CT
HOT SPRINGS AR, 71913-6314, US
Phone (501) 624-0609
Fax (501) 624-6191
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Wallace Holt Optical Llc NPI is 1023410651, taxonomy code is 332B00000X Wallace Holt Optical Llc physically located at 211 Mcauley Ct, Hot Springs AR, 71913-6314. NPI Number 1033115704 has the healthcare provider type.

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1023410651 NPI number is provided on an as is basis without warranty of any kind. 1023410651 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace Holt Optical Llc are for informational purposes only.