JACOB DAVID CLARK

MADISON, AL
NPI1760049068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: AL  S-E20-TA-B53)
Enumeration Date2019-05-22
Last Update Date2023-10-13
Business Address
Dr. JACOB DAVID CLARK OD
7880 OLD MADISON PIKE
MADISON, AL 35758-1435
Phone number: 256-772-8711
Mailing Address
Dr. JACOB DAVID CLARK OD
PO BOX 207243
DALLAS, TX 75320-7243
Phone number: 636-200-4393
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