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Individual

DR. JOHN R CLASEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
840 MONTCLAIR RD, SUITE 722, BIRMINGHAM, AL 35213-1920
(205) 591-2311
(205) 592-3531
Mailing address
230 E 10TH ST, SUITE 106, ANNISTON, AL 36207-5784
(256) 741-7340
(256) 741-7373

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-839-TA-366
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009911178
AL
Enumeration date
04/20/2006
Last updated
02/24/2017
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