Gary L Clarke O.D.

NPI 1043272388 - Optometrist - 152W00000X

NPI Details
NPI 1043272388
Gender Male
Enumeration Date 04/03/2006
Last Updated 07/11/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
308 SILVER BRIDGE PLZ
GALLIPOLIS OH, 45631-1833, US
Phone (740) 446-2525
Fax (740) 446-4371
Business Location
308 SILVER BRIDGE PLZ
GALLIPOLIS OH, 45631-1833, US
Phone (740) 446-2525
Fax (740) 446-4371
Toxanomy
Taxonomy Code 152W00000X
License State West Virginia
License Number 641-D
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According to our database, Dr. Gary L Clarke O.D. NPI is 1043272388, taxonomy code is 152W00000X and license number is 641-D, license state is located at West Virginia. Gary L Clarke O.D. physically located at 308 Silver Bridge Plz, Gallipolis OH, 45631-1833. NPI Number Gary L Clarke O.D. has the Individual type.

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1043272388 NPI number is provided on an as is basis without warranty of any kind. 1043272388 is maintained by the National Plan & Provider Enumeration System. The contents of Gary L Clarke O.D. are for informational purposes only.