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Organization

STEVE CLARK DPM INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN JON CLARK DPM (OWNER)
(805) 459-9666
Entity
Organization

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
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E43360
CA
Enumeration date
11/22/2010
Last updated
07/19/2024
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