person
Allen O Clyde, DPM
Foot & Ankle Surgery Podiatrist in Clovis, California
NPI 1962538462

Allen O Clyde is a Foot & Ankle Surgery Podiatrist based in Clovis, CA and is specialized in Foot & Ankle Surgery. Allen O Clyde practices in Clovis, CA and has the professional credentials of DPM. The NPI Number for Allen O Clyde is 1962538462 and holds a License No. E1976 (California).

The current practice location address for Allen O Clyde is 688 Medical Center Dr E, Clovis, CA and can be reached out via phone at 559-297-8604 and via fax at 559-297-0625.

Location: 688 Medical Center Dr E, Clovis, CA, 93611-6807
person
Provider Profile Details
NPI Number
1962538462
Provider Name
Allen O Clyde
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
688 Medical Center Dr E, Clovis, CA, 93611-6807
Phone Number
559-297-8604
Fax Number
559-297-0625
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E19760 01 CA CALIFORNIA LICENSE
946424550 01 CA TAX ID
E1976 01 CA PODIATRIC MEDICINE
000E19760 05 CA
institution
Provider Business Practice Location Address Details
Address
688 Medical Center Dr E
City
State
Zip
93611-6807
Phone Number
559-297-8604
Fax Number
559-297-0625
person
Provider Business Mailing Address Details
Address
688 Medical Center Dr E
City
State
Zip
93611-6807
Phone Number
559-297-8604
Fax Number
559-297-0625
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E1976 (California)
Definition
Definition to come...
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