Individual
DR. CASEY ROYCE DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4189 PHOENIX AVE, FORT SMITH, AR 72903-6013
(479) 434-4668
Mailing address
467460 E 1070 RD, SALLISAW, OK 74955-7116
(918) 208-7257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2718
AR
Other
Enumeration date
05/20/2015
Last updated
07/06/2015
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