Organization
ROBERT J CLANTON, OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMETT DOWNING LDO (OFFICE MANAGER)
(602) 995-8848
Entity
Organization
Contact information
Practice address
2337 W NORTHERN AVE, PHOENIX, AZ 85021-4918
(602) 995-8848
(602) 995-2980
Mailing address
2337 W NORTHERN AVE, PHOENIX, AZ 85021-4918
(602) 995-8848
(602) 995-2980
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0888
STATE BOARD OF OPTOMETRY
AZ
Enumeration date
04/01/2019
Last updated
04/01/2019
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