THOMAS CLARK, MD

Family Medicine

Active Individual
NPI: 1295741114

Practice Address

595 W 465 N
Providence, UT 84332

Phone: (385) 238-3900

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 6049303-1205 (UT)

Frequently Asked Questions

NPI 1295741114 is the National Provider Identifier for THOMAS CLARK, MD, a Family Medicine provider located in Providence, UT. This NPI was enumerated on July 31, 2006.
THOMAS CLARK, MD practices at 595 W 465 N, Providence, UT 84332.

Quick Facts

NPI
1295741114
Type
Individual
Enumerated
Jul 31, 2006
Last Updated
Feb 5, 2024

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