Individual
DR. DALE RAY BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
305 SECTION LINE, HOT SPRINGS, AR 71913-6913
(501) 525-2222
(501) 525-8650
Mailing address
305 SECTION LLINE, HOT SPRINGS, AR 71913-6913
(501) 525-2222
(501) 525-8650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2308
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102457722
—
AR
Enumeration date
11/02/2005
Last updated
08/03/2009
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