Individual
DR. DALE LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1119 N SAINT LOUIS, BATESVILLE, AR 72501-9458
(870) 793-6857
Mailing address
1119 N SAINT LOUIS, BATESVILLE, AR 72501-9458
(870) 793-6857
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2425
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126161722
—
AR
05
—
127707722
—
AR
01
—
48815
ARKANSAS BLUE CROSSBLUE S
AR
Enumeration date
01/22/2007
Last updated
03/04/2020
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