Robert J Clanton, Od LLC
Optometrist in Phoenix, AZ. Organization (NPI-2).
NPI number1982166831
StatusActive
Last updated in NPPESApr 1, 2019
Details
- NPI
- 1982166831
- Entity type
- Organization (NPI-2)
- Legal business name
- Robert J Clanton, Od LLC
- Organization subpart
- No
- Enumeration date
- Apr 1, 2019
- Last updated
- Apr 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
2337 W Northern AvePhoenix, AZ 85021-4918
Phone 602-995-8848 · Fax 602-995-2980
Mailing address
2337 W Northern AvePhoenix, AZ 85021-4918
Phone 602-995-8848 · Fax 602-995-2980
Authorized official
Emmett Downing
Office Manager
6029958848
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