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DR. SHANE ALEXANDER CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5734 SHERIDAN LAKE RD, SUITE 202, RAPID CITY, SD 57702-8811
(605) 342-0258
(605) 342-0209
Mailing address
3027 ROXBURY CIR, RAPID CITY, SD 57702-5301
(816) 853-9407
(605) 342-0209

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
725
SD

Other

Enumeration date
06/29/2011
Last updated
08/10/2023
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