Charles A Clark, OD

NPI #1922090752 in Corydon, Iowa

Provider Information

NPI Number: 1922090752
Entity Type: Individual
Name: Charles A Clark, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 18, 2005
Last Updated: Jul 12, 2016

Practice Location

Address: 212 N FRANKLIN ST
City: Corydon
State: Iowa
ZIP Code: 50060-1328
Phone: (641) 774-5819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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