Search › Idaho › 213ES0103X
Clark Johnson, D.P.M
NPI 1518225929 · on the registry since 2012
Practice
- Address
- 3120 W Belltower Dr Ste 100
Meridian, ID 83646 - Phone
- (208) 516-3617
- Fax
- (208) 314-2029
- Organisation at this address
- Ben Indiek Pllc
Treasure Valley Foot And Ankle
Dr. Scott H Gibbons And Debra F Gibbons IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 3676 Parker Blvd, Pueblo, CO
- 203 12th Ave Rd, Nampa, ID
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213ES0103X
- Licence states on file
- CO, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho