C Wallace Liles Jr Od PA
NPI #1043438807 in Waldron, Arkansas
Provider Information
- NPI Number
- 1043438807
- Entity Type
- Organization
- Organization Name
- C Wallace Liles Jr Od PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Sep 1, 2009
Practice Location
Authorized Official
- Name
- DR. C. WALLACE LILES JR., O.D.
- Title
- DR.
- Phone
- (479) 637-5598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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