Individual
DAWN M. CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4212 N. 16TH STREET, PHOENIX INDIAN MEDICAL CENTER, PHOENIX, AZ 85016
(602) 263-1511
(602) 263-1619
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905480
BCBS
AZ
05
—
423210
—
AZ
Enumeration date
08/03/2006
Last updated
07/09/2007
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