Individual
DR. ZACHARY THOMAS FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
113 W CARPENTER ST, BENTON, AR 72015-3317
(501) 778-2363
(501) 778-5329
Mailing address
113 W CARPENTER ST, BENTON, AR 72015-3317
(501) 778-2363
(501) 778-5329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2804
AR
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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