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Organization

ASHWORTH FAMILY VISION CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELISHA A CLARK (OFFICE MANAGER)
(515) 440-4610
Entity
Organization

Contact information

Practice address
5958 ASHWORTH RD, WEST DES MOINES, IA 50266-7110
(515) 440-4610
(515) 440-4611
Mailing address
5958 ASHWORTH RD, WEST DES MOINES, IA 50266-7110
(515) 440-4610
(515) 440-4611

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1907
IA

Other

Enumeration date
02/04/2009
Last updated
02/04/2009
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