Individual
DR. COLE ALAN CLAYCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1813 WILLOW ST # 2A, VINCENNES, IN 47591-4276
(812) 255-0559
Mailing address
1813 WILLOW ST, STE 2A, VINCENNES, IN 47591-4276
(812) 881-5961
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004288A
IN
Other
Enumeration date
07/06/2021
Last updated
07/26/2021
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