Clydeeve A Shreve, DPM

NPI #1225129117 in Ogden, Utah

Provider Information

NPI Number: 1225129117
Entity Type: Individual
Name: Clydeeve A Shreve, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Sep 27, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 5640 WASATCH DR
Address 2: SUITE F
City: Ogden
State: Utah
ZIP Code: 84403-4902
Phone: (801) 392-7507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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