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Organization

DR G W CLAY P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARLAND W CLAY JR. O.D. (OPTOMETRIST/OWNER)
(580) 223-8676
Entity
Organization

Contact information

Practice address
226 W MAIN ST, ARDMORE, OK 73401-6316
(580) 223-8676
(580) 223-8677
Mailing address
226 W MAIN ST, ARDMORE, OK 73401-6316
(580) 223-8676
(580) 223-8677

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
891
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447394200
NPI
Enumeration date
06/25/2008
Last updated
08/26/2008
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