Individual
DR. JULIE TAYLOR CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
201 S AVALON ST, WEST MEMPHIS, AR 72301-4172
(870) 732-4701
(870) 732-5400
Mailing address
201 S AVALON ST, WEST MEMPHIS, AR 72301-4172
(870) 732-4701
(870) 732-5400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2447
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161049722
—
AR
05
—
176805722
—
AR
Enumeration date
08/30/2006
Last updated
12/01/2009
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