Individual
WALLACE W TOWLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1827 CENTRAL AVE, HOT SPRINGS NATIONAL PARK, AR 71901-6848
(501) 624-5492
(501) 321-0001
Mailing address
PO BOX 549, HOT SPRINGS NATIONAL PARK, AR 71902-0549
(501) 624-5492
(501) 321-0001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2196
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102349722
—
AR
Enumeration date
12/11/2006
Last updated
12/12/2017
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