Organization
JULIE A. MACKALL OD LLC
Active
Organization
JULIE A. MACKALL OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A MACKALL OD (DOCTOR)
(330) 332-4501
Entity
Organization
Contact information
Practice address
2400 SOUTHEAST BLVD STE A, SALEM, OH 44460-3482
(330) 332-4501
(330) 332-4540
Mailing address
2400 SOUTHEAST BLVD STE A, SALEM, OH 44460-3482
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5492T2404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2803210
—
OH
Enumeration date
12/04/2008
Last updated
03/17/2018
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