OrganizationActive
Clinton Clark DPM LLC
NPI 1104975168 · Foot & Ankle Surgery Podiatrist · Boise, ID
Provider details
- NPI number
- 1104975168
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Clinton Clark, Owner(208) 928-4670
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
6051 N Eagle Rd
Boise, ID 83713-0997
Phone: (208) 938-4670
Fax: (208) 938-4675
Approximate (ZIP-level) locationGet directions
Mailing address
6051 N Eagle Rd
Boise, ID 83713-0997
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.