Individual
STEVEN DON CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
421 N COLE RD # 102, BOISE, ID 83704-9114
(208) 685-0416
(208) 685-0418
Mailing address
421 N COLE RD # 102, BOISE, ID 83704-9114
(208) 685-0416
(208) 685-0418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP669
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000308300
—
ID
Enumeration date
05/17/2006
Last updated
11/30/2023
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