Organization
CLINT T TAYLOR OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT T. TAYLOR OD (OWNER)
(618) 382-4683
Entity
Organization
Contact information
Practice address
304 S CHURCH ST, CARMI, IL 62821-1604
(618) 382-4683
(618) 382-4684
Mailing address
304 S CHURCH ST, CARMI, IL 62821-1604
(618) 382-4683
(618) 382-4684
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
11/07/2007
Last updated
01/25/2008
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