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

DR. CLINTON H CLARK, DPM

Active

DR. CLINTON H CLARK, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in MERIDIAN, Idaho. NPI 1710924345 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · MERIDIAN, ID

Registration Details

NPI Number
1710924345
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2006 (20.162275280571 yrs)
Last Updated
Feb 21, 2014
License
P191 (ID)

Practice Information

Address
520 S EAGLE RD
STE 1243
MERIDIAN, ID, 836426351
Browse ID providers · Browse ZIP 83642
Phone
2089384670
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in MERIDIAN, ID

Name Credential NPI
DR. KURT EARL KINGHORN DPM 1396023446
DR. CLARK A JOHNSON D.P.M. 1518225929
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.