Individual
DALTON MCGAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 444-5093
Mailing address
31807 W 157TH ST, EXCELSIOR SPRINGS, MO 64024-5221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3269
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2024
Last updated
07/28/2024
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