LOGAN CLARK, PA-C
Physician Assistant
Active
Individual
NPI: 1154593275
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5262016-1206 (UT) |
Frequently Asked Questions
NPI 1154593275 is the National Provider Identifier for LOGAN CLARK, PA-C, a Physician Assistant provider located in Magna, UT. This NPI was enumerated on March 28, 2008.
LOGAN CLARK, PA-C practices at 8211 W 3500 S, Magna, UT 84044.
Quick Facts
- NPI
- 1154593275
- Type
- Individual
- Enumerated
- Mar 28, 2008
- Last Updated
- Mar 28, 2008
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