Organization · Type 2 NPI
Clinton Clark DPM LLC
Foot & Ankle Surgery Podiatrist · Boise, ID
NPI number
1104975168
Active
Practice location
6051 N Eagle Rd
Boise, ID 83713-0997
Fax (208) 938-4675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
8 other providers at this address
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- Boise Podiatry Clinic, P. A.Primary Podiatric Medicine Podiatrist Boise, ID NPI 1982711578
- Dana J. TriplittDenturist Boise, ID NPI 1720920457
- Dustin Ray Portela, DODermatology Physician Boise, ID NPI 1588002547
- Gary J. Millward, DPMPodiatrist Boise, ID NPI 1063462075
- Heidi Marie Van Giffen, L.D.Denturist Boise, ID NPI 1700099694
- Jacob Shane Tebbs, PA-CMedical Physician Assistant Boise, ID NPI 1154870251
- Scott A. Graviet, DPMPodiatrist Boise, ID NPI 1578514618
Other foot & ankle surgery podiatrist providers in Boise
About NPI 1104975168
Clinton Clark DPM LLC's National Provider Identifier is 1104975168, issued on Jan 9, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.