Individual
DR. STUART MITCHELL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2209 QUARRY DR, SUITE A - 13, 14, WEST LAWN, PA 19609-1155
(610) 685-2733
Mailing address
508 MAPLEWOOD DR, DOUGLASSVILLE, PA 19518-1200
(610) 385-6252
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
OEG000660
PA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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