Individual provider · Type 1 NPI
Janice Patrece Clark, DPM
Foot & Ankle Surgery Podiatrist · Seattle, WA
NPI number
1811168339
Active
Practice location
1660 S Columbian Way
Seattle, WA 98108-1532
Mailing address
PO Box 467
Zuni, NM 87327-0467
Other practice locations
- 201 N 21 B Avenue, Zuni, NM 87327 · (505) 782-2255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | POD001114 (GA) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | CL011 (NM) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0689 (AZ) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | R57676 (NY) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | POD001114 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1811168339
Janice Patrece Clark, DPM's National Provider Identifier is 1811168339, issued on Mar 13, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Seattle, WA. The record was last updated on Jul 21, 2022.