Individual
DR. DAVID G CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
215 N KANAWHA ST, BECKLEY, WV 25801-4716
(304) 253-2020
(304) 253-2340
Mailing address
215 N KANAWHA ST, BECKLEY, WV 25801-4716
(304) 253-2020
(304) 253-2340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
827OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149237000
—
WV
Enumeration date
03/23/2006
Last updated
05/15/2014
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