Individual
DEAN B CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1515 E FLORENCE BLVD, STE 105, CASA GRANDE, AZ 85122-5334
(520) 836-2962
(520) 836-8343
Mailing address
1515 E FLORENCE BLVD, STE 105, CASA GRANDE, AZ 85122-5334
(520) 836-2962
(520) 836-8343
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0593
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
934936
—
AZ
01
—
Z113535
MEDICARE NUMBER ASSOCIATED GERIATRICS
AZ
Enumeration date
03/01/2006
Last updated
05/10/2017
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