Individual
DR. AUDIE M. TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
204 E 2ND STREET S, PRESCOTT, AR 71857
(870) 887-3596
(870) 887-3945
Mailing address
PO BOX 189, PRESCOTT, AR 71857-0189
(870) 887-3596
(870) 887-3945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2325
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103598722
—
AR
Enumeration date
10/06/2006
Last updated
01/14/2013
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