Individual
DR. OTHA WADE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1225 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5179
(501) 268-5808
(501) 305-3370
Mailing address
11225 HURON LN STE 200A, LITTLE ROCK, AR 72211-1861
(501) 268-5808
(501) 305-3370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2892
AR
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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