Organization
MARTINDALE & MARTINDALE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MARTINDALE OD (PRES)
(662) 837-7186
Entity
Organization
Contact information
Practice address
201 N MAIN ST, RIPLEY, MS 38663-2027
(662) 837-7186
Mailing address
201 N MAIN ST, RIPLEY, MS 38663-2027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
461
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087830
—
MS
05
—
09011572
—
MS
Enumeration date
03/05/2007
Last updated
08/22/2020
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