Individual
HOWARD LEON HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
701 GILLHAM AVE, MENA, AR 71953-4137
(479) 394-7771
(479) 394-7770
Mailing address
701 GILLHAM ST., MENA, AR 71953-0778
(479) 394-7771
(479) 394-7770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2078
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102929722
—
AR
Enumeration date
10/03/2006
Last updated
09/28/2011
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