Clint T Taylor OD

NPI 1811931769 - Optometrist - 152W00000X

NPI Details
NPI 1811931769
Gender Male
Enumeration Date 06/15/2006
Last Updated 08/01/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
304 S CHURCH ST
CARMI IL, 62821-1604, US
Phone (618) 382-4683
Fax (618) 382-4684
Business Location
304 S CHURCH ST
CARMI IL, 62821-1604, US
Phone (618) 382-4683
Fax (618) 382-4684
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046-009761
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According to our database, Dr. Clint T Taylor OD NPI is 1811931769, taxonomy code is 152W00000X and license number is 046-009761, license state is located at Illinois. Clint T Taylor OD physically located at 304 S Church St, Carmi IL, 62821-1604. NPI Number Clint T Taylor OD has the Individual type.

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1811931769 NPI number is provided on an as is basis without warranty of any kind. 1811931769 is maintained by the National Plan & Provider Enumeration System. The contents of Clint T Taylor OD are for informational purposes only.