Individual
ADAM CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
341 W TUDOR RD STE 101, ANCHORAGE, AK 99503-6639
(907) 770-6652
Mailing address
341 W TUDOR RD STE 101, ANCHORAGE, AK 99503-6639
(907) 770-6652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
147655
AK
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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