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Individual

DR. ALAN TODD ISRAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
755 N PEACH AVE STE E5, CLOVIS, CA 93611-7252
(559) 283-9571
Mailing address
755 N PEACH AVE STE E5, CLOVIS, CA 93611-7252
(559) 283-9571

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11852
CA
152W00000X
Optometrist
OPT11852TPA
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0118520
CA
Enumeration date
05/31/2005
Last updated
12/23/2021
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