Individual
DR. SHIRLEY ELAINE RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
WALMART VISION CENTER #2540, 63 PERKINS ROAD, CLARION, PA 16214
(814) 226-0909
(814) 226-0911
Mailing address
PO BOX 44, BROOKVILLE, PA 15825-0044
(814) 849-8875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000687
PA
Other
Enumeration date
08/19/2006
Last updated
02/10/2010
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