Clinton R Shoultz, O.D.

NPI #1619912599 in Petersburg, Indiana

Provider Information

NPI Number: 1619912599
Entity Type: Individual
Name: Clinton R Shoultz, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 17, 2006
Last Updated: Feb 8, 2017

Practice Location

Address: 715 S 9TH ST
City: Petersburg
State: Indiana
ZIP Code: 47567-1820
Phone: (812) 354-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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