DR. Gregory Alexander Clark, O.D.

NPI #1467521153 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1467521153
Entity Type: Individual
Name: DR. Gregory Alexander Clark, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 7, 2006
Last Updated: Nov 29, 2012

Practice Location

Address: 12547 RIVERDALE BLVD NW
Address 2: COSTCO OPTICAL DEPARTMENT
City: Coon Rapids
State: Minnesota
ZIP Code: 55448-6708
Phone: (763) 712-7761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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