Clark Blackwood, O.D.

NPI #1518075324 in Longmont, Colorado

Provider Information

NPI Number: 1518075324
Entity Type: Individual
Name: Clark Blackwood, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 29, 2006
Last Updated: May 23, 2012

Practice Location

Address: 2080 N MAIN ST
City: Longmont
State: Colorado
ZIP Code: 80501-1916
Phone: (303) 651-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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