SearchUtah208600000X

Terry Clark, MD

NPI 1548403678 · on the registry since 2009 · sole proprietor

Practice

Address
4976 E Meadows Dr
Park City, UT 84098
Phone
(435) 602-9767
Fax
(413) 683-9923

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-20

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