Individual provider · Type 1 NPI

David James Clark

Orthotic Fitter · St. Paul, MN

NPI number 1205043528 Active

Practice location

2200 University Ave W, #114
St. Paul, MN 55114-1839

Call (651) 644-5800 Map

Mailing address

11424 Quincy St NE
Blaine, MN 55434-2931

Specialties and licenses

TaxonomyCodeLicense
Orthotic Fitter Primary 225000000X1175 (MN)

Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.

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About NPI 1205043528

David James Clark's National Provider Identifier is 1205043528, issued on May 17, 2007. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.