David James Clark

NPI #1205043528 in Saint Paul, Minnesota

Provider Information

NPI Number: 1205043528
Entity Type: Individual
Name: David James Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotic Fitter
Enumeration Date: May 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2200 UNIVERSITY AVE W
Address 2: #114
City: Saint Paul
State: Minnesota
ZIP Code: 55114-1839
Phone: (651) 644-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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