NPI 1104975168

Clinton Clark DPM LLC

Organisation Foot & Ankle Surgery Podiatrist Boise, ID

Practice location

Address: 6051 N Eagle Rd, Boise, ID 83713-0997
Phone: (208) 938-4670
Fax: (208) 938-4675

Authorised official

Name: Clinton H Clark
Title: Owner
Phone: (208) 928-4670

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Idaho →

Registry record

NPI: 1104975168
Entity type: Organization
NPI issued: 9 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.