Individual provider · Type 1 NPI

Chester Dean Clark, D.P.M.

Foot Surgery Podiatrist · Anaheim, CA

NPI number 1629089404 Active

Practice location

1611 S Euclid St
Anaheim, CA 92802-2406

Call (714) 535-2806 Map

Fax (714) 999-1167

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist Primary 213ES0131XE2464 (CA)

Foot Surgery Podiatrist: Definition to come...

About NPI 1629089404

Chester Dean Clark, D.P.M.'s National Provider Identifier is 1629089404, issued on Aug 10, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Anaheim, CA. The record was last updated on Oct 24, 2010.