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Organization

TASKER N. RODMAN, II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARBARA P. HALLEY II (OFFICE ADMINISTRATOR)
(870) 523-3333
Entity
Organization

Contact information

Practice address
2101 MALCOLM AVE, NEWPORT, AR 72112-3631
(870) 523-3333
(870) 523-2379
Mailing address
PO BOX 370, NEWPORT, AR 72112-0370
(870) 523-3333
(870) 523-2379

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2168
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154330637
NPI NUMBER
AR
01
1316926454
NPI NUMBER
AR
Enumeration date
02/22/2007
Last updated
08/22/2020
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