Individual
ANGELA EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2901 HIGHWAY 412 E, SILOAM SPRINGS, AR 72761-8673
(479) 238-0257
Mailing address
RR 3 BOX 2290, STILWELL, OK 74960-9537
(918) 575-1558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2013040188
MO
152W00000X
Optometrist
Primary
2692
AR
Other
Enumeration date
11/02/2013
Last updated
08/12/2014
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