| Steve Clark Dpm Inc | |
|
699 W Tefft St Ste A, Nipomo, CA 93444-9288 | |
| (805) 619-5610 | |
| (805) 619-5179 |
| Full Name | Steve Clark Dpm Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 699 W Tefft St Ste A, Nipomo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558663690 | NPI | - | NPPES |
| 000E43360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Steven J Clark |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114952462 PECOS PAC ID: 9032298872 Enrollment ID: I20080506000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Steve Clark Dpm Inc 699 W Tefft St Ste A, Nipomo, CA 93444-9288 Ph: (805) 619-5610 | Steve Clark Dpm Inc 699 W Tefft St Ste A, Nipomo, CA 93444-9288 Ph: (805) 619-5610 |
Steven Jon Clark, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 699 W Tefft St Ste A, Nipomo, CA 93444 Phone: 805-619-5610 Fax: 805-619-5179 | |
Dr. Billy Yu, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6359 | |
Dr. Thomas Henry Vincent Ii, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 620 W Tefft St, Nipomo, CA 93444 Phone: 805-929-8055 Fax: 805-929-8066 |