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

DR. CLARK A JOHNSON, D.P.M.

Active

DR. CLARK A JOHNSON, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in MERIDIAN, Idaho. NPI 1518225929 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · MERIDIAN, ID

Registration Details

NPI Number
1518225929
Provider Type
Individual
Gender
Male
NPI Issued
Apr 24, 2012 (14.119261829112 yrs)
Last Updated
Feb 11, 2020
Licenses
POD.0000757 (CO)
P242 (ID)

Practice Information

Address
3120 W BELLTOWER DR STE 100
MERIDIAN, ID, 836467744
Browse ID providers · Browse ZIP 83646
Phone
2085163617
Fax
2083142029
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in MERIDIAN, ID

Name Credential NPI
DR. CLINTON H CLARK DPM 1710924345
DR. KURT EARL KINGHORN DPM 1396023446
STEVEN ANDERSON DPM 1760045538
DR. JUAN TRINIDAD CEJA SOLORIO DPM 1912529306
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.