Individual
CLYDEEVE A SHREVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5640 WASATCH DR, SUITE F, OGDEN, UT 84403-4902
(801) 392-7507
(801) 393-0725
Mailing address
5640 WASATCH DR, SUITE F, OGDEN, UT 84403-4902
(801) 392-7507
(801) 393-0725
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
101694-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5177150001
DEMERK PROVIDER ID
UT
01
—
P00100541
RR MEDICARE PROVIDER ID
UT
Enumeration date
09/27/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us