BRYAN CLARK, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1093777047
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 3231151206 (UT) |
| Physician Assistant - Surgical | 363AS0400X | Yes | 3231151206 (UT) |
Frequently Asked Questions
NPI 1093777047 is the National Provider Identifier for BRYAN CLARK, PA-C, a Physician Assistant - Surgical provider located in Sandy, UT. This NPI was enumerated on April 5, 2006.
BRYAN CLARK, PA-C practices at 9844 S 1300 E, STE 275, Sandy, UT 84094.
Quick Facts
- NPI
- 1093777047
- Type
- Individual
- Enumerated
- Apr 5, 2006
- Last Updated
- Apr 22, 2016
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