Search › Utah › 363A00000X
Logan Clark, PA-C
NPI 1154593275 · on the registry since 2008
Practice
- Address
- 8211 W 3500 S
Magna, UT 84044 - Phone
- (801) 250-9638
- Fax
- (801) 250-3204
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah