Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1104975168 |
| LBN Legal business name | CLINTON CLARK DPM LLC |
| Authorized official | CLINTON CLARK - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/09/2007 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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CLINTON CLARK DPM LLC
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| BOISE PODIATRY CLINIC, P. A. 6051 N EAGLE RD BOISE, ID |
| ROBERT A SWENSEN, DPM 1075 N CURTIS ROAD BOISE, ID |
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CLINTON CLARK DPM LLC