person
Stacey J Clarke, DPM
Foot & Ankle Surgery Podiatrist in La Grande, Oregon
NPI 1437157260

Stacey J Clarke is a Foot & Ankle Surgery Podiatrist based in La Grande, OR and is specialized in Foot & Ankle Surgery. Stacey J Clarke practices in La Grande, OR and has the professional credentials of DPM. The NPI Number for Stacey J Clarke is 1437157260 and holds a License No. DP00283 (Oregon).

The current practice location address for Stacey J Clarke is 1408 N Hall St, La Grande, OR and can be reached out via phone at 541-963-0265 and via fax at 541-963-6176.

Location: 1408 N Hall St, La Grande, OR, 97850-3807
person
Provider Profile Details
NPI Number
1437157260
Provider Name
Stacey J Clarke
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1408 N Hall St, La Grande, OR, 97850-3807
Phone Number
541-963-0265
Fax Number
541-963-6176
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
150541 05 OR
institution
Provider Business Practice Location Address Details
Address
1408 N Hall St
City
State
Zip
97850-3807
Phone Number
541-963-0265
Fax Number
541-963-6176
person
Provider Business Mailing Address Details
Address
1408 N Hall St
City
State
Zip
97850-3807
Phone Number
541-963-0265
Fax Number
541-963-6176
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DP00283 (Oregon)
Definition
Definition to come...
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