Clinton Clark Dpm Llc in Boise - Foot & Ankle Surgery
Clinton Clark Dpm Llc - NPI 1104975168
Clinton Clark Dpm Llc is a Foot & Ankle Surgery in Boise, Idaho. Clinton Clark Dpm Llc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Clinton Clark Dpm Llc is 1104975168. The last update date is 2020-08-22.
Clinton Clark Dpm Llc's current location address is 6051 N Eagle Rd, Boise, Idaho. You can contact this provider via phone number 2089384670 and fax number 2089384675. The mailing address for Clinton Clark Dpm Llc is 6051 N Eagle Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clinton Clark Dpm Llc |
|---|---|
| Address | 6051 N Eagle Rd, Boise, Idaho |
| Phone Number | 2089384670 |
| Fax Number | 2089384675 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark H Clinton |
| Credentials | DPM |
| Telephone Number | 2089284670 |
NPI Number Detail
| NPI Number | 1104975168 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6051 N Eagle Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837130997 |
| Phone Number | 2089384670 |
| Fax Number | 2089384675 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Clinton Clark Dpm Llc?
The Clinton Clark Dpm Llc has been issued the NPI (National Provider Identifier) 1104975168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Clinton Clark Dpm Llc is physically located?
The Clinton Clark Dpm Llc is situated at the following address: 6051 N Eagle Rd, Boise, ID 837130997.
What is Clinton Clark Dpm Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clinton Clark Dpm Llc is Foot & Ankle Surgery, and the taxonomy code that categorizes this field of expertise is 213Es0103X.
When was the Clinton Clark Dpm Llc's 1104975168 issued?
The Clinton Clark Dpm Llc's 1104975168 was issued on 2007-01-09.
As of what date were the details related to Clinton Clark Dpm Llc most recently updated or revised?
The information pertaining to Clinton Clark Dpm Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.