Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY MICHAEL CLARK
Active Sole ProprietorFoot & Ankle Surgery · PADEN CITY, WV
Registration Details
- NPI Number
- 1972107704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2020 (5.4094983562871 yrs)
- Last Updated
- Jan 7, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
714 N 4TH AVEPADEN CITY, WV, 261591614Browse WV providers · Browse ZIP 26159
- Phone
- 7575320680
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in PADEN CITY, WV
| Name | Credential | NPI |
|---|---|---|
| TAWNYA D BOYD | — | 1669075701 |
| TABITHA DAWN SMITH | — | 1225776362 |
| DEBRA MAE BARR | — | 1346961653 |
| TERESA LYNN UTT | — | 1104520337 |
| TIMOTHY LEE ADAMS | — | 1114617693 |
| GARY L. BILLITER | — | 1841060712 |
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.