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Contact Information

WALTER D CLARK, DPM
805 ST. VINCENT'S DRIVE
SUITE 420
BIRMINGHAM, AL35205-2704
 Phone: 205-324-8511
 Fax: 205-314-8551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for WALTER D CLARK · (Male)

NPI # 1700864238
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/05/2006
Last updated 11/13/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 0048
  • AL Medicaid CL000070338
  • AL Other 051070338 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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