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Philip Clark, LDO
Optician in Phoenix, Arizona
NPI 1295142362

Philip Clark is a Optician based in Phoenix, AZ and is specialized in Optician. Philip Clark practices in Phoenix, AZ and has the professional credentials of LDO. The NPI Number for Philip Clark is 1295142362 and holds a License No. 417 (Arizona).

The current practice location address for Philip Clark is 4201 N 16Th St, Phoenix, AZ and can be reached out via phone at 602-277-5007.

Location: 4201 N 16Th St, Phoenix, AZ, 85016-5347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295142362
Provider Name
Philip Clark
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
4201 N 16Th St, Phoenix, AZ, 85016-5347
Phone Number
602-277-5007
Fax Number
Provider Enumeration Date
07/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4201 N 16Th St
City
Phoenix
State
Arizona
Zip
85016-5347
Phone Number
602-277-5007
Fax Number
person
Provider Business Mailing Address Details
Address
4201 N 16Th St
City
Phoenix
State
Arizona
Zip
85016-5347
Phone Number
602-277-5007
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
417 (Arizona)
Definition
Definition to come...
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