NPI 1225129117

Clydeeve a Shreve, DPM

Practitioner Podiatrist Ogden, UT

Practice location

Address: 5640 Wasatch Dr Suite F, Ogden, UT 84403-4902
Phone: (801) 392-7507
Fax: (801) 393-0725

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 101694-0501 (UT)

Other Podiatrist providers in Utah →

Registry record

NPI: 1225129117
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2006
Record last updated: 9 Jul 2007

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.