Individual
DR. CHARLES G CROSSLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7345 HIGHWAY 62 W, GASSVILLE, AR 72635
(870) 435-3333
(870) 471-9029
Mailing address
PO BOX 444, MOUNTAIN HOME, AR 72654-0444
(870) 424-4900
(870) 424-4979
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2326
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101232722
—
AR
Enumeration date
07/28/2005
Last updated
06/15/2018
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