Individual
SHELLY ANN CLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1425 W SOUTHERN AVE, MESA, AZ 85202-4814
(480) 833-6786
Mailing address
6321 N 51ST PL, PARADISE VALLEY, AZ 85253-4134
(602) 808-8686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
908
AZ
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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