Individual provider · Type 1 NPI
Stacey J. Clarke, D.P.M.
Foot & Ankle Surgery Podiatrist · Indio, CA
NPI number
1437157260
Active
Practice location
82013 Doctor Carreon Blvd Ste H
Indio, CA 92201-5832
Fax (442) 300-2925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DP00283 (OR) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5243 (CA) |
| Podiatrist | 213E00000X | E5243 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Indio
About NPI 1437157260
Stacey J. Clarke, D.P.M.'s National Provider Identifier is 1437157260, issued on Jul 14, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Indio, CA. The record was last updated on Apr 16, 2025.