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DR. DAVID JUSTIN MANNING O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1972519783

Individual Registrant:
DR. DAVID JUSTIN MANNING O.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1122 MAIN ST SUITE 12 VILONIA, AR 72173-9524 US
Tel: 501-796-8040  Fax: 501-796-3773

Contact information for business:
1122 MAIN ST SUITE 12 VILONIA, AR 72173-9524 US
Tel: 501-796-8040  Fax: 501-796-3773

Registration Information:
NPI: 1972519783
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
AR2576

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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