DOUGLAS ROBERT CLARK

SALEM, UT
NPI1487008603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: UT  9844583-9934)
Enumeration Date2016-04-14
Last Update Date2019-05-22
Business Address
DOUGLAS ROBERT CLARK O.D.
446 N STATE ROAD 198
SALEM, UT 84653
Phone number: 801-368-5987
Mailing Address
DOUGLAS ROBERT CLARK O.D.
446 N STATE ROAD 198
SALEM, UT 84653-4605
Phone number:
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