| Clinton Clark Dpm Llc | |
| 6051 N Eagle Rd, Boise, ID 83713-0997 | |
| (208) 938-4670 | |
| (208) 938-4675 | 
| Full Name | Clinton Clark Dpm Llc | 
|---|---|
| Type | Facility | 
| Speciality | Podiatrist - Foot & Ankle Surgery | 
| Location | 6051 N Eagle Rd, Boise, Idaho | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104975168 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Clinton Clark Dpm Llc 6051 N Eagle Rd, Boise, ID 83713-0997 Ph: (208) 938-4670 | Clinton Clark Dpm Llc 6051 N Eagle Rd, Boise, ID 83713-0997 Ph: (208) 938-4670 | 
| Dr. William Scott Stano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 220 W Jefferson St, Boise, ID 83702 Phone: 208-343-8907 Fax: 208-343-9161 | |
| Dr. Gary J Millward, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6051 N Eagle Rd, Boise, ID 83713 Phone: 208-938-4670 | |
| Ankle & Foot Medical Center Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 222 N 2nd St, Suite 301, Boise, ID 83702 Phone: 208-344-3324 Fax: 208-344-4349 | |
| Dr. Stanley B Leis, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 809 N Liberty St, Boise, ID 83704 Phone: 208-327-0627 Fax: 208-376-5258 | |
| Dr. Robert A Swensen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1075 N Curtis Road, Ste 300, Boise, ID 83706 Phone: 208-367-3330 Fax: 208-367-3331 | |
| Dr. Ryan Tyler Johnson, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 900 N Liberty St Ste 306, Boise, ID 83704 Phone: 208-367-7887 Fax: 208-367-7888 |