DR. Clifford Wayne Upshaw

NPI #1639330350 in Tracy, California

Provider Information

NPI Number
1639330350
Entity Type
Individual
Name
DR. Clifford Wayne Upshaw
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Enumeration Date
Jun 25, 2008
Last Updated
Jun 25, 2008

Practice Location

Address
3250 W GRANT LINE RD
City
Tracy
ZIP Code
95304-8427
Phone
(209) 836-3937

Specialties & Taxonomy Codes

Specialty
Optometrist

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