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Dr. Janice Patrece Clark, DPM
Foot & Ankle Surgery Podiatrist in Seattle, Washington
NPI 1811168339

Janice Patrece Clark is a Foot & Ankle Surgery Podiatrist based in Zuni, WA and is specialized in Foot & Ankle Surgery. Janice Patrece Clark practices in Seattle, WA and has the professional credentials of DPM. The NPI Number for Janice Patrece Clark is 1811168339 and holds a License No. POD001114 (Washington).

The current practice location address for Janice Patrece Clark is 1660 S Columbian Way, Seattle, WA and can be reached out via phone at 206-716-5651.

Location: 1660 S Columbian Way, Seattle, WA, 87327-0467
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Provider Profile Details
NPI Number
1811168339
Provider Name
Janice Patrece Clark
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1660 S Columbian Way, Seattle, WA, 87327-0467
Phone Number
206-716-5651
Fax Number
Provider Enumeration Date
03/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
519981 01 GA WELLCARE
52246038-001 01 GA BCBSGA
PAR 01 GA AETNA
PAR-2009-07-20 01 GA GREAT WEST
GPD114 05 SC
2009-07-20 01 GA CIGNA
294861171A 05 GA
1289105 01 GA AMERIGROUP
2009-10-01 01 GA PSHP
20091544 01 GA SELECT HEALTH
PAR-2009-08-28 01 GA TRICARE
2009-08-01 01 GA UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
1660 S Columbian Way
City
State
Zip
98108-1532
Phone Number
206-716-5651
Fax Number
person
Provider Business Mailing Address Details
Address
1660 S Columbian Way
City
State
Zip
98108-1532
Phone Number
206-716-5651
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Foot and Ankle Surgery
Taxonomy
License No.
CL011 (New Mexico)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
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Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD001114 (Georgia)
Definition
Definition to come...
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