Douglas Robert Clark, O.D.

NPI #1487008603 in Salem, Utah

Provider Information

NPI Number: 1487008603
Entity Type: Individual
Name: Douglas Robert Clark, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 14, 2016
Last Updated: May 22, 2019

Practice Location

Address: 446 N STATE ROAD 198
City: Salem
State: Utah
ZIP Code: 84653
Phone: (801) 368-5987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Salem Hills Family Eyecare LLC	Optometrist	Salem	AI Deep Dive

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