Individual
CLINTON R SHOULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
715 S 9TH ST, PETERSBURG, IN 47567-1820
(812) 354-9400
(812) 354-2627
Mailing address
715 S 9TH ST, PETERSBURG, IN 47567-1820
(812) 257-8713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003125A
IN
Other
Enumeration date
06/17/2006
Last updated
02/08/2017
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