Individual
GARLAND WILLIS CLAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
226 W MAIN ST, ARDMORE, OK 73401
(580) 223-8676
(580) 223-8677
Mailing address
PO BOX 1848, ARDMORE, OK 73402
(580) 223-8676
(580) 223-8677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
891
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0731150001
PALMETTO
—
Enumeration date
02/16/2007
Last updated
04/11/2008
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