IndividualActive
Clydeeve Shreve, DPM
NPI 1225129117 · Podiatrist · Ogden, UT
Provider details
- NPI number
- 1225129117
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 101694-0501 (UT)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
5640 Wasatch Dr
Suite F
Ogden, UT 84403-4902
Phone: (801) 392-7507
Fax: (801) 393-0725
Approximate (ZIP-level) locationGet directions
Mailing address
5640 Wasatch Dr
Ogden, UT 84403-4902
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.