Donald L. Baker
Eyewear Supplier (Equipment, not the service) in Clarksville, AR. Organization (NPI-2).
NPI number1124201744
StatusActive
Last updated in NPPESDec 6, 2007
Details
- NPI
- 1124201744
- Entity type
- Organization (NPI-2)
- Legal business name
- Donald L. Baker
- Organization subpart
- No
- Enumeration date
- Dec 6, 2007
- Last updated
- Dec 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 2006 | AR | Yes |
Practice location
210 W Main StClarksville, AR 72830-3010
Phone 479-754-3309 · Fax 479-754-3955
Mailing address
210 W Main StClarksville, AR 72830-3010
Phone 479-754-3309 · Fax 479-754-3955
Authorized official
Donald L. Baker
Owner
4797543309
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