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Individual

MARTIN L FAULKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1805 STATE HIGHWAY 77, MARION, AR 72364
(870) 739-2020
(870) 739-2939
Mailing address
531 APPERSON CV, MARION, AR 72364
(870) 739-4727

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2473
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135224722
AR
Enumeration date
08/02/2006
Last updated
01/26/2016
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