Individual
DONALD L. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
210 W MAIN ST, CLARKSVILLE, AR 72830-3010
(479) 754-3309
(479) 754-3955
Mailing address
210 W MAIN ST, CLARKSVILLE, AR 72830-3010
(479) 754-3309
(479) 754-3955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103093722
—
AR
Enumeration date
04/12/2006
Last updated
07/24/2008
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