DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLINTON CLARK DPM LLC

Active Organization

CLINTON CLARK DPM LLC is a Foot & Ankle Surgery Podiatrist organization located in BOISE, Idaho. NPI 1104975168 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · BOISE, ID

Registration Details

NPI Number
1104975168
Provider Type
Organization
NPI Issued
Jan 9, 2007 (19.625613710342 yrs)
Last Updated
Aug 22, 2020

Practice Information

Address
6051 N EAGLE RD
BOISE, ID, 837130997
Browse ID providers · Browse ZIP 83713
Phone
2089384670
Fax
2089384675
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Organizations in BOISE, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.