Stacey J. Clarke D.p.m., P.c.

NPI #1477680569 in La Grande, Oregon

Provider Information

NPI Number
1477680569
Entity Type
Organization
Organization Name
Stacey J. Clarke D.p.m., P.c.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Feb 27, 2007
Last Updated
Mar 10, 2015

Practice Location

Address
1408 N HALL ST
State
Oregon
ZIP Code
97850-3807
Phone
(541) 963-0265

Authorized Official

Name
DR. STACEY J CLARKE, DPM
Title
OWNER
Phone
(541) 963-0265

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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