Mr. Jan Dean Clark is a Bozeman, Montana based male podiatrist with 38 years of experience in Podiatry. He completed his graduation from California School Of Podiatric Medicine in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jan Dean Clark for Podiatry is 79 in Montana. Mr. Jan Dean Clark is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Jan Dean Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DMD
Experience:
38+ years
Medical School Attended:
California School Of Podiatric Medicine
Graduation Year:
1986
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
300 No Willson, 602f, Bozeman, Montana, 59715
Phone:
406-586-5318
Fax:
406-586-1635
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4587687884
Enrollment ID:
I20060112000854
NPI Number:
1497803803
NPI Enumeration Date:
08 Jan, 2007
NPI Last Update On:
01 Oct, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jan Dean Clark are as mentioned below.
License Number
Specialization
State
Status
79
Podiatry
Montana
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Jan Dean Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Bozeman Podiatric Clinic Inc (6507947652)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jan Dean Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0390091
Medicaid
Montana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1125 W Kagy Blvd Ste 101, Bozeman, Montana
Zip:
59715-5879
Phone Number:
406-586-5318
Fax Number:
406-586-1635
Patients can reach Mr. Jan Dean Clark at 300 No Willson, 602f, Bozeman, Montana or can call to book an appointment on 406-586-5318. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
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