C Wallace Liles Jr Od Pa Valid NPI

Organization · Optometrist · Waldron, AR

NPI

1043438807

Type

Organization (Type 2)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

AR2331 (AR)

Enumerated

2007-04-24

Last updated

2009-09-01