DR. Stephen Paul Clark, O.D.

NPI #1720004591 in Athens, Tennessee

Provider Information

NPI Number: 1720004591
Entity Type: Individual
Name: DR. Stephen Paul Clark, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 902 W MADISON AVE
City: Athens
State: Tennessee
ZIP Code: 37303-3432
Phone: (423) 745-8882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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