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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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