CHAD CLARK

BOISE, ID
NPI1205241577
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100308)
Enumeration Date2014-06-25
Last Update Date2022-11-14
Business Address
Dr. CHAD CLARK O.D.
1205 S FIVE MILE RD
BOISE, ID 83709-1304
Phone number: 208-322-8381
Mailing Address
Dr. CHAD CLARK O.D.
1205 S FIVE MILE RD
BOISE, ID 83709-1304
Phone number: 208-322-8381
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