Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton Clark DPM LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1104975168

Clinton Clark DPM LLC is a Foot & Ankle Surgery Podiatrist in Boise, Idaho. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6051 N Eagle Rd
Boise, ID 83713-0997
Phone: (208) 938-4670
Fax: (208) 938-4675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1104975168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clinton Clark — Owner · (208) 928-4670
NPI enumeratedJanuary 9, 2007
Last updated in NPPESAugust 22, 2020
Mailing address6051 N Eagle Rd, Boise, ID 83713-0997

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