| Clydeeve A Shreve, DPM | |
|
5640 Wasatch Dr, Suite F, Ogden, UT 84403-4902 | |
| (801) 392-7507 | |
| (801) 393-0725 |
| Full Name | Clydeeve A Shreve |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 5640 Wasatch Dr, Ogden, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225129117 | NPI | - | NPPES |
| 5177150001 | Other | UT | DEMERK PROVIDER ID |
| P00100541 | Other | UT | RR MEDICARE PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 101694-0501 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clydeeve A Shreve, DPM 5640 Wasatch Dr, Suite F, Ogden, UT 84403-4902 Ph: (801) 392-7507 | Clydeeve A Shreve, DPM 5640 Wasatch Dr, Suite F, Ogden, UT 84403-4902 Ph: (801) 392-7507 |
Mckay Dee Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, #2835, Ogden, UT 84403 Phone: 801-387-7945 | |
Kevin G Walker, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3225 Fax: 801-475-3227 | |
Dr. Susan Jespersen Agres, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-430-8406 | |
Dr. Chantel B Murrah, DPM PHD Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3590 Harrison Blvd, # G1, Ogden, UT 84403 Phone: 801-627-2122 Fax: 801-627-2125 | |
Wasatch Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405 Phone: 801-430-8406 | |
Lorell B Fawson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3590 Harrison Blvd, G1, Ogden, UT 84403 Phone: 801-627-2122 Fax: 801-627-2125 | |
Dr. David Matthew Graff, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd Ste 1885, Ogden, UT 84403 Phone: 801-387-4870 Fax: 801-387-4875 |