Bonnie E Mallard, OD

NPI #1407849318 in Clanton, Alabama

Provider Information

NPI Number: 1407849318
Entity Type: Individual
Name: Bonnie E Mallard, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 25, 2005
Last Updated: Aug 6, 2007

Practice Location

Address: 1415 7TH ST S
City: Clanton
State: Alabama
ZIP Code: 35045-3746
Phone: (205) 755-7114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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