Stacey J. Clarke Dpm, PC

NPI #1558490763 in La Grande, Oregon

Provider Information

NPI Number: 1558490763
Entity Type: Organization
Organization Name: Stacey J. Clarke Dpm, PC
Primary Specialty: Podiatrist
Enumeration Date: Mar 5, 2007
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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