Organization
ROBERT EDWARD MARTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EDWARD MARTIN (OWNER)
(479) 442-8961
Entity
Organization
Contact information
Practice address
834 W NORTH ST, FAYETTEVILLE, AR 72701-1866
(479) 442-8961
Mailing address
834 W NORTH ST, FAYETTEVILLE, AR 72701-1866
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2117
AR
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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