Individual
STEVEN JON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
699 W TEFFT ST STE A, NIPOMO, CA 93444-9288
(805) 619-5610
(805) 619-5179
Mailing address
699 W TEFFT ST STE A, NIPOMO, CA 93444-9288
(805) 619-5610
(805) 619-5179
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E43360
—
CA
Enumeration date
07/12/2006
Last updated
02/24/2026
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