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Individual

ROBERT W. SMALLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD, PA

Contact information

Practice address
119 N MAIN ST, WARREN, AR 71671-2714
(870) 226-6731
(870) 226-7894
Mailing address
PO BOX 420, 119 NORTH MAIN STREET, WARREN, AR 71671-0420
(870) 226-6731
(870) 226-7894

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2179
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110204722
AR
Enumeration date
04/18/2006
Last updated
07/31/2012
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