Individual
ANTHONY RONALD CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2216 E NC HIGHWAY 54, DURHAM, NC 27713-2208
(919) 544-2020
(919) 433-0298
Mailing address
2216E NC HIGHWAY 54, DURHAM, NC 27713-2208
(919) 544-2020
(919) 433-0298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1360
NC
Other
Enumeration date
05/26/2006
Last updated
08/03/2015
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